Individual provider · Type 1 NPI
Therone Camba Chan, BS
Mental Health Counselor · Medford, OR
NPI number
1295161701
Active
Practice location
3501 Excel Dr
Medford, OR 97504-8067
Mailing address
1215 SW G St
Grants Pass, OR 97526-2544
Other practice locations
- 140 South Holly Street, Medford, OR 97501 · (541) 774-8200
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
4 other providers at this address
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- Leslie Michelle WilliamsMental Health Counselor Medford, OR NPI 1003417973
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About NPI 1295161701
Therone Camba Chan, BS's National Provider Identifier is 1295161701, issued on Sep 17, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Jun 21, 2019.