Provider Demographics
NPI:1790541845
Name:ORR, VERONICA MARIE (PSS, CRM2)
Entity Type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:MARIE
Last Name:ORR
Suffix:
Gender:F
Credentials:PSS, CRM2
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 NIANTIC ST
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:OR
Mailing Address - Zip Code:97501-5741
Mailing Address - Country:US
Mailing Address - Phone:541-951-9589
Mailing Address - Fax:
Practice Address - Street 1:1015 NIANTIC ST
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:OR
Practice Address - Zip Code:97501-5741
Practice Address - Country:US
Practice Address - Phone:541-951-9589
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)