| NPI | 1578149928 | 
|---|---|
| Doing Business As | LEFT COAST WELLNESS | 
| Entity Type | Organization | 
| Authorized Contact | RACHEL CAZAVILAN Owner/Therapist 541-632-4014  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 101Y00000X Counselor | 
| Additional Taxonomies | 101YP2500X Counselor, Professional | 
| 133N00000X Nutritionist | |
| Enumeration Date | 2021-03-23 | 
| Last Update Date | 2025-03-14 |