Individual provider · Type 1 NPI

Bryan De Valle

Professional Counselor · Medford, OR

NPI number 1265009898 Active

Practice location

221 W Main St Ste 300
Medford, OR 97501-2728

Call (541) 821-9559 Map

Fax (541) 702-1236

Mailing address

PO Box 36
Medford, OR 97501-0003

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1265009898

Bryan De Valle's National Provider Identifier is 1265009898, issued on Jun 10, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Medford, OR. The record was last updated on Jun 10, 2021.