| Cottage Grove Counseling Clinic, Inc. | |
|
411 Washington Ave Cottage Grove OR 97424-2060 | |
| (541) 942-8060 | |
| (541) 942-9849 |
| Full Name | Cottage Grove Counseling Clinic, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 411 Washington Ave, Cottage Grove, Oregon |
| Authorized Official Name and Position | Gary N Reiss (DIRECTOR) |
| Authorized Official Contact | 5416868060 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cottage Grove Counseling Clinic, Inc. Po Box 786 Cottage Grove OR 97424-0033 Ph: (541) 942-8060 | Cottage Grove Counseling Clinic, Inc. 411 Washington Ave Cottage Grove OR 97424-2060 Ph: (541) 942-8060 |
| NPI Number | 1023138088 |
|---|---|
| Provider Enumeration Date | 03/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023138088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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