Ericson, Gretchen Leanne
Ericson, Gretchen Leanne is an sole proprietor health care provider with primary practice located at 11 Tripp St , Medford OR 97504-7343. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ericson, Gretchen Leanne can be contacted via phone (541) 324-1255.Contact Information
Primary practice address
11 Tripp St
Medford OR 97504-7343
Phone: (541) 324-1255
Fax: (541) 277-2038
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | C2534 | Oregon |
Profile Details
| NPI number | 1245348630 |
|---|---|
| LBN Legal business name | Ericson, Gretchen Leanne |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 27th, 2006 |
| Last updated | Nov 19th, 2021 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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