Fansler, Mary Adrienne
Fansler, Mary Adrienne is an sole proprietor health care provider with primary practice located at 1237 N Riverside Ave Suite 229, Medford OR 97501. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fansler, Mary Adrienne can be contacted via phone (541) 779-8850.Contact Information
Primary practice address
1237 N Riverside Ave Suite 229
Medford OR 97501
Phone: (541) 779-8850
Fax: (541) 858-5441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | L2117 | Oregon |
Profile Details
| NPI number | 1043286636 |
|---|---|
| LBN Legal business name | Fansler, Mary Adrienne |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 24th, 2006 |
| Last updated | Mar 13th, 2013 - about 11 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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