Basic Information
| Provider Information | |||||||||
| NPI: | 1831354802 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | PLEIN | ||||||||
| FirstName: | MARGARET | ||||||||
| MiddleName: | B | ||||||||
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| Credential: | MS, LPC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 100 E MAIN ST | ||||||||
| Address2: | SUITE C | ||||||||
| City: | MEDFORD | ||||||||
| State: | OR | ||||||||
| PostalCode: | 975016041 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5417895526 | ||||||||
| FaxNumber: | 5417895203 | ||||||||
| Practice Location | |||||||||
| Address1: | 600 S 2ND ST | ||||||||
| Address2: | |||||||||
| City: | CENTRAL POINT | ||||||||
| State: | OR | ||||||||
| PostalCode: | 975022704 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5417894238 | ||||||||
| FaxNumber: | 5417325729 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/18/2008 | ||||||||
| LastUpdateDate: | 07/18/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | C2195 | OR | Y | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.