| NPI | 1881120517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA EDWARDS Licensed Professional Counselor 541-525-2332 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OR C4416) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |