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Heidi Annette Dirkse-graw, LPC
Professional Counselor in Medford, Oregon
NPI 1528424488

Heidi Annette Dirkse-graw is a Professional Counselor based in Medford, OR and is specialized in Professional. Heidi Annette Dirkse-graw practices in Medford, OR and has the professional credentials of LPC. The NPI Number for Heidi Annette Dirkse-graw is 1528424488 and holds a License No. C3861 (Oregon).

The current practice location address for Heidi Annette Dirkse-graw is 16 N Riverside Ave Ste 209, Medford, OR and can be reached out via phone at 503-516-8073. You can also correspond with Heidi Annette Dirkse-graw through the mailing address at 4618 CLOUDCREST DR STE 320, MEDFORD, OR - 97504-9050 (mailing address contact number: 503-516-8073).

Location: 16 N Riverside Ave Ste 209, Medford, OR, 97504-9050
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Provider Profile Details
NPI Number
1528424488
Provider Name
Heidi Annette Dirkse-graw
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
16 N Riverside Ave Ste 209, Medford, OR, 97504-9050
Phone Number
503-516-8073
Fax Number
Provider Enumeration Date
01/07/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1497461669 01 NPI NUMERATOR
500711141 05 OR
institution
Provider Business Practice Location Address Details
Address
16 N Riverside Ave Ste 209
City
State
Zip
97501-6024
Phone Number
503-516-8073
Fax Number
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Provider Business Mailing Address Details
Address
16 N Riverside Ave Ste 209
City
State
Zip
97501-6024
Phone Number
503-516-8073
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C3861 (Oregon)
Definition
Definition to come...
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