Individual provider · Type 1 NPI

Katie Hargraves Long

Mental Health Counselor · Medford, OR

NPI number 1457065559 Active

Practice location

10 Crater Lake Ave Bldg A
Medford, OR 97504-7445

Call (541) 772-0127 Map

Fax (541) 772-0966

Mailing address

1750 Nebraska Ave Bldg A
Grants Pass, OR 97527-5700

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1457065559

Katie Hargraves Long's National Provider Identifier is 1457065559, issued on Jan 12, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Jan 12, 2023.