| NPI | 1144004490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN GRAHAM Licensed Professional Counselor 541-517-5177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-08-18 |
| Last Update Date | 2023-08-18 |