Individual provider · Type 1 NPI

Hazel Louise Williston

Professional Counselor · Medford, OR

NPI number 1356909725 Active

Practice location

200 Beatty St
Medford, OR 97501-5811

Call (541) 414-2373 Map

Mailing address

1215 SW G St
Grants Pass, OR 97526-2544

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC7077 (OR)

Professional Counselor: Definition to come...

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About NPI 1356909725

Hazel Louise Williston's National Provider Identifier is 1356909725, issued on May 31, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Medford, OR. The record was last updated on Feb 12, 2024.