Provider Demographics
NPI:1609096940
Name:MORGAN, VIRGINIA STARR (LMFT)
Entity Type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:STARR
Last Name:MORGAN
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:VIRGINIA
Other - Middle Name:STARR
Other - Last Name:KOHLSAAT MORGAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:9900 LOWER RIVER ROAD
Mailing Address - Street 2:
Mailing Address - City:GRANTS PASS
Mailing Address - State:OR
Mailing Address - Zip Code:97526
Mailing Address - Country:US
Mailing Address - Phone:541-761-2991
Mailing Address - Fax:541-955-4767
Practice Address - Street 1:224 NW D STREET
Practice Address - Street 2:
Practice Address - City:GRANTS PASS
Practice Address - State:OR
Practice Address - Zip Code:97526
Practice Address - Country:US
Practice Address - Phone:541-761-2991
Practice Address - Fax:541-955-4767
Is Sole Proprietor?:No
Enumeration Date:2007-04-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORT0366106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist