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Kenneth Letizia
Mental Health Counselor in Grants Pass, Oregon
NPI 1669872545

Kenneth Letizia is a Mental Health Counselor based in Grants Pass, OR and is specialized in Mental Health. Kenneth Letizia practices in Grants Pass, OR. The NPI Number for Kenneth Letizia is 1669872545 and holds a License No. (Oregon).

The current practice location address for Kenneth Letizia is 1545 Harbeck Rd, Grants Pass, OR and can be reached out via phone at 541-476-2373.

Location: 1545 Harbeck Rd, Grants Pass, OR, 97526-2544
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669872545
Provider Name
Kenneth Letizia
Credential
Provider Entity Type
Individual
Gender
Male
Address
1545 Harbeck Rd, Grants Pass, OR, 97526-2544
Phone Number
541-476-2373
Fax Number
Provider Enumeration Date
08/28/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1545 Harbeck Rd
City
Grants Pass
State
Oregon
Zip
97527-5605
Phone Number
541-476-2373
Fax Number
person
Provider Business Mailing Address Details
Address
1545 Harbeck Rd
City
Grants Pass
State
Oregon
Zip
97527-5605
Phone Number
541-476-2373
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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