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Samantha Grondahl I
Mental Health Counselor in Grants Pass, Oregon
NPI 1457741795

Samantha Grondahl I is a Mental Health Counselor based in Grants Pass, OR and is specialized in Mental Health. Samantha Grondahl I practices in Grants Pass, OR. The NPI Number for Samantha Grondahl I is 1457741795 and holds a License No. (Oregon).

The current practice location address for Samantha Grondahl I is 715 Sw Ramsey Ave, Grants Pass, OR and can be reached out via phone at 541-956-4943.

Location: 715 Sw Ramsey Ave, Grants Pass, OR, 97527-5500
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457741795
Provider Name
Samantha Grondahl I
Credential
Provider Entity Type
Individual
Gender
Female
Address
715 Sw Ramsey Ave, Grants Pass, OR, 97527-5500
Phone Number
541-956-4943
Fax Number
Provider Enumeration Date
01/26/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
715 Sw Ramsey Ave
City
Grants Pass
State
Oregon
Zip
97527-5500
Phone Number
541-956-4943
Fax Number
person
Provider Business Mailing Address Details
Address
715 Sw Ramsey Ave
City
Grants Pass
State
Oregon
Zip
97527-5500
Phone Number
541-956-4943
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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