MICHAEL VELASQUEZ

MEDFORD, OR
NPI1144786013
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2019-02-15
Last Update Date2023-06-19
Business Address
MICHAEL VELASQUEZ
200 BEATTY ST
MEDFORD, OR 97501-5811
Phone number: 541-476-2373
Mailing Address
MICHAEL VELASQUEZ
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373