Individual provider · Type 1 NPI

Lisa Marie Palacios

Mental Health Counselor · Medford, OR

NPI number 1407600455 Active

Practice location

850 Swing Ln Unit 1
Medford, OR 97501-1790

Fax (541) 622-8593

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 1407600455

Lisa Marie Palacios's National Provider Identifier is 1407600455, issued on Apr 16, 2024. 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 4, 2024.