Andrea Bearden, Lcsw
Counselor in Medford, OR. Organization (NPI-2).
NPI number1013748748
StatusActive
Last updated in NPPESJan 4, 2025
Details
- NPI
- 1013748748
- Entity type
- Organization (NPI-2)
- Legal business name
- Andrea Bearden, Lcsw
- Organization subpart
- No
- Enumeration date
- Aug 13, 2024
- Certification date
- Jan 4, 2025
- Last updated
- Jan 4, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – |
Other names
- Southern Oregon Behavioral Health (Doing Business As)
Practice location
201 W Main St Ste 1bMedford, OR 97501-2744
Phone 541-499-5753
Mailing address
3879 Creek Mont DrMedford, OR 97504-8923
Phone 541-499-5753
Authorized official
Andrea Bearden
Owner
5414995753
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