| NPI | 1528658754 |
|---|---|
| Doing Business As | INNOVATIVE COUNSELING |
| Entity Type | Organization |
| Authorized Contact | MURIELL CARLISLE Counselor 541-671-9748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2021-01-21 |