-- SUSANNAH BANCHERO --
Individual Provider (NPI-1)
Active
Counselor, Mental Health
Provider Information
- NPI Number
1982013827- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1750 NEBRASKA AVE, GRANTS PASS, OR, 975275700
- Phone
- (541) 956-4943
Specialties & Taxonomies
Counselor, Mental Health
Primary
All Addresses
MAILING
1750 NEBRASKA AVE
GRANTS PASS, OR, 975275700