Black Swan Healing Llc | |
2355 State St Ste 101 Salem OR 97301-4541 | |
(971) 268-7462 | |
(971) 202-9584 |
Full Name | Black Swan Healing Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 2355 State St Ste 101, Salem, Oregon |
Authorized Official Name and Position | Nicholas A Mcgee (COUNSELOR/OWNER) |
Authorized Official Contact | 3603932125 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Black Swan Healing Llc 4111 1/2 Park Blvd San Diego CA 92103-2510 Ph: (360) 393-2125 | Black Swan Healing Llc 2355 State St Ste 101 Salem OR 97301-4541 Ph: (971) 268-7462 |
NPI Number | 1023849882 |
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Provider Enumeration Date | 08/12/2024 |
Last Update Date | 08/12/2024 |
Certification Date | 08/12/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023849882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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