Most Relevant Information
Provider Data
NPI Number: | 1003458662 |
Provider Name: | SAVAHANNA KAY CRUTHIRDS |
Entity Type: | Individual |
Taxonomy Code: | 101YM0800X |
Specialty: | Counselor |
License Number: |
Most Important Dates
Enumeration Date: | 10/15/2019 |
Last Updated: | 06/26/2024 |
Provider Practice Location
1181 SW RAMSEY AVE
GRANTS PASS
OR
975275835
Practice Location Phone/Fax
Phone: | 5414762373 |
Fax: |
Provider Mailing Location
1215 SW G ST
GRANTS PASS
OR
975262544
Provider Mailing Phone/Fax
Phone: | 5414762373 |
Fax: |