Little Light Counseling
Counselor, Mental Health in Medford, OR. Organization (NPI-2).
NPI number1164091930
StatusActive
Last updated in NPPESJun 24, 2021
Details
- NPI
- 1164091930
- Entity type
- Organization (NPI-2)
- Legal business name
- Little Light Counseling
- Organization subpart
- No
- Enumeration date
- Jun 24, 2021
- Certification date
- Jun 5, 2021
- Last updated
- Jun 24, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Other names
- Little Light Counseling (Doing Business As)
Practice location
3550 National DriveMedford, OR 97504
Phone 458-225-4255 · Fax 541-500-1818
Mailing address
3550 National DriveMedford, OR 97504
Phone 458-225-4255 · Fax 541-500-1818
Authorized official
Mimi Marlene French-Templeton
Executive Director
4582254255
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