HARRISON LOCKHART

MEDFORD, OR
NPI1326406026
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2016-02-09
Last Update Date2016-02-09
Business Address
-- HARRISON LOCKHART
300 W MAIN ST
MEDFORD, OR 97501-2756
Phone number: 541-772-1777
Mailing Address
-- HARRISON LOCKHART
309 W CLARK ST
MEDFORD, OR 97501-2320
Phone number: