| NPI | 1043716012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ANDREW Mental Health Counselor 541-760-2197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4344) |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |