Individual provider · Type 1 NPI

Kellie Amber Sanford, CNA2

Mental Health Counselor · Medford, OR

NPI number 1649956244 Active

Practice location

10 Crater Lake Ave
Medford, OR 97504-7445

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 1649956244

Kellie Amber Sanford, CNA2's National Provider Identifier is 1649956244, issued on Jun 27, 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 Jun 27, 2023.