TRACY CHARLESWORTH-JOHN

MEDFORD, OR
NPI1427885862
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2024-09-18
Last Update Date2024-09-18
Business Address
TRACY CHARLESWORTH-JOHN
10 CRATER LAKE AVE
MEDFORD, OR 97504-7445
Phone number: 541-772-0127
Mailing Address
TRACY CHARLESWORTH-JOHN
1750 NEBRASKA AVE
GRANTS PASS, OR 97527-5700
Phone number: 541-956-4943