Individual provider · Type 1 NPI

Laura Locke

Mental Health Counselor · Medford, OR

NPI number 1891348025 Active

Practice location

10 Crater Lake Ave
Medford, OR 97504-7445

Call (541) 956-4943 Map

Fax (541) 200-2948

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 1891348025

Laura Locke's National Provider Identifier is 1891348025, issued on Jul 17, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, OR. The record was last updated on May 4, 2022.