Individual provider · Type 1 NPI

Shandra Rae Lazar, LCSW

Mental Health Counselor · Medford, OR

NPI number 1508351172 Active

Practice location

503 Airport Rd
Medford, OR 97504-4159

Call (307) 315-5318 Map

Mailing address

719 Alyssa Cir
Phoenix, OR 97535-7715

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1508351172

Shandra Rae Lazar, LCSW's National Provider Identifier is 1508351172, issued on Jun 26, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on Jul 29, 2022.