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Susannah Banchero
Mental Health Counselor in Grants Pass, Oregon
NPI 1982013827

Susannah Banchero is a Mental Health Counselor based in Grants Pass, OR and is specialized in Mental Health. Susannah Banchero practices in Grants Pass, OR. The NPI Number for Susannah Banchero is 1982013827 and holds a License No. (Oregon).

The current practice location address for Susannah Banchero is 1750 Nebraska Ave, Grants Pass, OR and can be reached out via phone at 541-956-4943.

Location: 1750 Nebraska Ave, Grants Pass, OR, 97527-5700
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982013827
Provider Name
Susannah Banchero
Credential
Provider Entity Type
Individual
Gender
Female
Address
1750 Nebraska Ave, Grants Pass, OR, 97527-5700
Phone Number
541-956-4943
Fax Number
Provider Enumeration Date
08/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1750 Nebraska Ave
City
Grants Pass
State
Oregon
Zip
97527-5700
Phone Number
541-956-4943
Fax Number
person
Provider Business Mailing Address Details
Address
1750 Nebraska Ave
City
Grants Pass
State
Oregon
Zip
97527-5700
Phone Number
541-956-4943
Fax Number
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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