| NPI | 1811531262 |
|---|---|
| Former Legal Business Name | MIRROR POND COUNSELING |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DREW Owner 541-668-7558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 103TP0814X Psychologist, Psychoanalysis |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 101YP1600X Counselor, Pastoral | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TF0000X Psychologist, Family | |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2019-10-29 |