Fawn Gonzales Lcsw Llc

LBN: Fawn Gonzales Lcsw Llc
Fawn Gonzales Lcsw Llc is an health care organization with primary practice located at 14 Cottage St , Medford OR 97504-7332. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Fawn Gonzales Lcsw Llc can be contacted via phone (541) 944-7711, or through Gonzales, Fawn via phone (541) 944-7711.

Contact Information

Primary practice address
14 Cottage St Medford OR 97504-7332
Phone: (541) 944-7711
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gonzales, Fawn
Phone: (541) 944-7711

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5212 Oregon

Profile Details

NPI number 1417322231
LBN Legal business name Fawn Gonzales Lcsw Llc
DBA Doing business as
Authorized official Gonzales, Fawn
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2015
Last updated Dec 4th, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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