Individual provider · Type 1 NPI

Judy L. Kephart, MH-FRA

Counselor · Cottage Grove, OR

NPI number 1790841971 Active

Practice location

410 N 9th St
Cottage Grove, OR 97424-1307

Fax (541) 942-1574

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1790841971

Judy L. Kephart, MH-FRA's National Provider Identifier is 1790841971, issued on Dec 29, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Cottage Grove, OR. The record was last updated on Jul 9, 2007.