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 |