CODY J DOLLARHIDE

MEDFORD, OR
NPI1023870177
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2024-01-24
Last Update Date2024-01-24
Business Address
CODY J DOLLARHIDE
300 W MAIN ST
MEDFORD, OR 97501-2756
Phone number: 541-772-1777
Mailing Address
CODY J DOLLARHIDE
1459 SE N ST
GRANTS PASS, OR 97526-7006
Phone number: 415-291-7995
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