DAVID KYLE FODREA

JUNCTION CITY, OR
NPI1215770383
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-06-17
Last Update Date2024-06-17
Business Address
DAVID KYLE FODREA
29398 RECOVERY WAY STE 3
JUNCTION CITY, OR 97448-8447
Phone number: 541-995-2221
Mailing Address
DAVID KYLE FODREA
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170