| NPI | 1841016177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MCKENZIE STORMS Licensed Professional Counselor 541-203-3968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-12-03 |
| Last Update Date | 2025-07-17 |