MEKADESH VON HAMMERSTEIN

MEDFORD, OR
NPI1912548405
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence:   professionallicense)
Enumeration Date2019-10-05
Last Update Date2023-03-14
Business Address
MEKADESH VON HAMMERSTEIN
201 W 6TH ST
MEDFORD, OR 97501-2708
Phone number: 541-858-8170
Mailing Address
MEKADESH VON HAMMERSTEIN
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170