Individual provider · Type 1 NPI

Lainie Kay Quattlebaum

Mental Health Counselor · Medford, OR

NPI number 1386301646 Active

Practice location

503 Airport Rd
Medford, OR 97504-4159

Call (541) 200-2900 Map

Fax (541) 200-2948

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1386301646

Lainie Kay Quattlebaum's National Provider Identifier is 1386301646, issued on Nov 22, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Nov 22, 2021.