CARL RICHARDSON

MEDFORD, OR
NPI1275212904
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2023-07-11
Last Update Date2023-07-11
Business Address
CARL RICHARDSON QMHA
200 BEATTY ST
MEDFORD, OR 97501-5811
Phone number: 541-476-2373
Mailing Address
CARL RICHARDSON QMHA
1215 SW G ST
GRANTS PASS, OR 97526-2544
Phone number: 541-476-2373
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