DANIEL ETCHISON

MEDFORD, OR
NPI1528569696
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-02-23
Last Update Date2019-05-02
Business Address
DANIEL ETCHISON CIT
221 W MAIN ST
MEDFORD, OR 97501-2728
Phone number: 541-772-1777
Mailing Address
DANIEL ETCHISON CIT
221 W MAIN ST
MEDFORD, OR 97501-2728
Phone number:
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