TIA PETERSON

CENTRAL POINT, OR
NPI1972974293
Former NameTIA KHACHITPHET
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  L7989)
Enumeration Date2015-10-13
Last Update Date2025-01-10
Business Address
TIA PETERSON
655 N 3RD ST
CENTRAL POINT, OR 97502-1876
Phone number: 541-494-6323
Mailing Address
TIA PETERSON
931 CHEVY WAY
MEDFORD, OR 97504-4127
Phone number: 541-535-6239
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