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Mekadesh Von Hammerstein
Mental Health Counselor in Medford, Oregon
NPI 1912548405

Mekadesh Von Hammerstein is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Mekadesh Von Hammerstein practices in Medford, OR. The NPI Number for Mekadesh Von Hammerstein is 1912548405 and holds a License No. PROFESSIONALLICENSE (Oregon).

The current practice location address for Mekadesh Von Hammerstein is 201 W 6Th St, Medford, OR and can be reached out via phone at 541-858-8170 and via fax at 541-858-8167.

Location: 201 W 6Th St, Medford, OR, 97504-4004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912548405
Provider Name
Mekadesh Von Hammerstein
Credential
Provider Entity Type
Individual
Gender
Male
Address
201 W 6Th St, Medford, OR, 97504-4004
Phone Number
541-858-8170
Fax Number
541-858-8167
Provider Enumeration Date
10/05/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
201 W 6Th St
City
Medford
State
Oregon
Zip
97501-2708
Phone Number
541-858-8170
Fax Number
541-858-8167
person
Provider Business Mailing Address Details
Address
201 W 6Th St
City
Medford
State
Oregon
Zip
97501-2708
Phone Number
541-858-8170
Fax Number
541-858-8167
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
PROFESSIONALLICENSE ()
Definition
Definition to come...
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