| NPI | 1699509984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL IVERSON Owner 541-246-9796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2024-09-19 |