Individual provider · Type 1 NPI

Gaelen Laurel Thurow

Mental Health Counselor · Medford, OR

NPI number 1104962471 Active

Practice location

3587 Heathrow Way
Medford, OR 97504-4004

Mailing address

16820 SE Powell Blvd, Apt 201
Portland, OR 97236-1786

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1104962471

Gaelen Laurel Thurow's National Provider Identifier is 1104962471, issued on Jan 30, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Feb 26, 2016.