Grace Warner Pettygrove
Grace Warner Pettygrove is a Mental Health Counselor in Medford, Oregon. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
201 W Main StMedford, OR 97501-2744
Phone: (541) 414-1720
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Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1518639111 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 1, 2021 |
| Last updated in NPPES | October 1, 2021 |
| Certification date | October 1, 2021 |
| Mailing address | 201 W Main St, Medford, OR 97501-2744 |
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