TIA KHACHITPHET

CENTRAL POINT, OR
NPI1972974293
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2015-10-13
Last Update Date2020-03-19
Business Address
TIA KHACHITPHET
655 N 3RD ST
CENTRAL POINT, OR 97502-1876
Phone number: 541-494-6323
Mailing Address
TIA KHACHITPHET
931 CHEVY WAY
MEDFORD, OR 97504-4127
Phone number: 541-535-6239