| Forging Paths Counseling, Llc | |
|
189 Liberty St Ne # 202d Salem OR 97301-3682 | |
| (971) 384-5158 | |
| Not Available |
| Full Name | Forging Paths Counseling, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 189 Liberty St Ne # 202d, Salem, Oregon |
| Authorized Official Name and Position | Alexander Patrick Brock (OWNER) |
| Authorized Official Contact | 9712052783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forging Paths Counseling, Llc 189 Liberty St Ne # 202d Salem OR 97301-3682 Ph: (971) 205-2783 | Forging Paths Counseling, Llc 189 Liberty St Ne # 202d Salem OR 97301-3682 Ph: (971) 384-5158 |
| NPI Number | 1790467488 |
|---|---|
| Provider Enumeration Date | 08/02/2023 |
| Last Update Date | 09/10/2023 |
| Certification Date | 09/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790467488 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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