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Grace Warner Pettygrove
Mental Health Counselor in Medford, Oregon
NPI 1518639111

Grace Warner Pettygrove is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Grace Warner Pettygrove practices in Medford, OR. The NPI Number for Grace Warner Pettygrove is 1518639111 and holds a License No. (Oregon).

The current practice location address for Grace Warner Pettygrove is 201 W Main St, Medford, OR and can be reached out via phone at 541-414-1720.

Location: 201 W Main St, Medford, OR, 97501-2744
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518639111
Provider Name
Grace Warner Pettygrove
Credential
Provider Entity Type
Individual
Gender
Female
Address
201 W Main St, Medford, OR, 97501-2744
Phone Number
541-414-1720
Fax Number
Provider Enumeration Date
10/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
201 W Main St
City
Medford
State
Oregon
Zip
97501-2744
Phone Number
541-414-1720
Fax Number
person
Provider Business Mailing Address Details
Address
201 W Main St
City
Medford
State
Oregon
Zip
97501-2744
Phone Number
541-414-1720
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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