Erica Lynn Idso, MS, LMFT
Marriage & Family Therapist in Medford, OR. Individual provider (NPI-1).
NPI number1407111925
StatusActive
Last updated in NPPESJul 17, 2017
Details
- NPI
- 1407111925
- Entity type
- Individual (NPI-1)
- Name
- Ms. Erica Lynn Idso
- Credential
- MS, LMFT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2012
- Last updated
- Jul 17, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 2208 | MN | Yes |
Practice location
19 Myrtle StMedford, OR 97504-7337
Phone 541-773-3863 · Fax 541-776-2892
Mailing address
900 E Main StMedford, OR 97504-7136
Phone 541-842-7704 · Fax 541-842-7640
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All 42 Marriage & Family Therapist providers in Medford · All 5,435 providers in Medford
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