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Melvin Cornelius Davidson
Mental Health Counselor in Medford, Oregon
NPI 1740066851

Melvin Cornelius Davidson is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Melvin Cornelius Davidson practices in Medford, OR. The NPI Number for Melvin Cornelius Davidson is 1740066851 and holds a License No. (Oregon).

The current practice location address for Melvin Cornelius Davidson is 1035 N Keene Way Dr, Medford, OR and can be reached out via phone at 541-500-8814 and via fax at 541-500-8813.

Location: 1035 N Keene Way Dr, Medford, OR, 97504-4004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740066851
Provider Name
Melvin Cornelius Davidson
Credential
Provider Entity Type
Individual
Gender
Male
Address
1035 N Keene Way Dr, Medford, OR, 97504-4004
Phone Number
541-500-8814
Fax Number
541-500-8813
Provider Enumeration Date
09/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1035 N Keene Way Dr
City
Medford
State
Oregon
Zip
97504-6253
Phone Number
541-500-8814
Fax Number
541-500-8813
person
Provider Business Mailing Address Details
Address
1035 N Keene Way Dr
City
Medford
State
Oregon
Zip
97504-6253
Phone Number
541-500-8814
Fax Number
541-500-8813
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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