| Align Counseling Llc | |
|
6444 Fairway Ave Se Ste 100 Salem OR 97306-3073 | |
| (971) 901-2731 | |
| (971) 901-3065 |
| Full Name | Align Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 6444 Fairway Ave Se Ste 100, Salem, Oregon |
| Authorized Official Name and Position | Melissa Marie Bravo (OWNER) |
| Authorized Official Contact | 9712187351 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Align Counseling Llc 6015 Barcelona Dr Se Salem OR 97317-9383 Ph: (971) 218-7351 | Align Counseling Llc 6444 Fairway Ave Se Ste 100 Salem OR 97306-3073 Ph: (971) 901-2731 |
| NPI Number | 1568110203 |
|---|---|
| Provider Enumeration Date | 03/11/2022 |
| Last Update Date | 06/18/2024 |
| Certification Date | 06/18/2024 |
| Medicare PECOS PAC ID | 6507203973 |
|---|---|
| Medicare Enrollment ID | O20240320003299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568110203 | NPI | - | NPPES |
| Provider Name | Melissa Marie Bravo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134350564 PECOS PAC ID: 1658722798 Enrollment ID: I20240320003787 |
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