Individual provider · Type 1 NPI

David J. Mortellaro

Mental Health Counselor · Medford, OR

NPI number 1306129804 Active

Practice location

140 South Holly Street
Medford, OR 97501

Fax (541) 774-7964

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1306129804

David J. Mortellaro's National Provider Identifier is 1306129804, issued on Sep 21, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Dec 19, 2014.