| NPI | 1881565794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT CURSON Office Manager 541-285-4006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 106H00000X Marriage & Family Therapist | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2025-09-15 |
| Last Update Date | 2025-09-15 |