| NPI | 1619523248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CATHERINE MCKAAGUE Licensed Professional Counselor 541-788-0795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2019-08-09 |