person
Autumn Basil Elam
Mental Health Counselor in Medford, Oregon
NPI 1942814801

Autumn Basil Elam is a Mental Health Counselor based in Medford, OR and is specialized in Mental Health. Autumn Basil Elam practices in Medford, OR. The NPI Number for Autumn Basil Elam is 1942814801 and holds a License No. (Oregon).

The current practice location address for Autumn Basil Elam is 850 Swing Ln Unit 1, Medford, OR and can be reached out via phone at 541-622-8592 and via fax at 541-622-8593.

Location: 850 Swing Ln Unit 1, Medford, OR, 97504-4004
person
Provider Profile Details
NPI Number
1942814801
Provider Name
Autumn Basil Elam
Credential
Provider Entity Type
Individual
Gender
Male
Address
850 Swing Ln Unit 1, Medford, OR, 97504-4004
Phone Number
541-622-8592
Fax Number
541-622-8593
Provider Enumeration Date
09/08/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
850 Swing Ln Unit 1
City
State
Zip
97501-1790
Phone Number
541-622-8592
Fax Number
541-622-8593
person
Provider Business Mailing Address Details
Address
850 Swing Ln Unit 1
City
State
Zip
97501-1790
Phone Number
541-622-8592
Fax Number
541-622-8593
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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