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Leslie Elizabeth Claridge Town
Mental Health Counselor in Medford, Oregon
NPI 1710533203

Leslie Elizabeth Claridge Town is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Leslie Elizabeth Claridge Town practices in Medford, OR. The NPI Number for Leslie Elizabeth Claridge Town is 1710533203 and holds a License No. R7443 (Oregon).

The current practice location address for Leslie Elizabeth Claridge Town is 610 S Peach St, Medford, OR and can be reached out via phone at 541-842-3855.

Location: 610 S Peach St, Medford, OR, 97504-4127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710533203
Provider Name
Leslie Elizabeth Claridge Town
Credential
Provider Entity Type
Individual
Gender
Female
Address
610 S Peach St, Medford, OR, 97504-4127
Phone Number
541-842-3855
Fax Number
Provider Enumeration Date
08/12/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
610 S Peach St
City
Medford
State
Oregon
Zip
97501-3310
Phone Number
541-842-3855
Fax Number
person
Provider Business Mailing Address Details
Address
610 S Peach St
City
Medford
State
Oregon
Zip
97501-3310
Phone Number
541-842-3855
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
R7443 (Oregon)
Definition
Definition to come...
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