| Counseling Corner Llc | |
|
7393 Se 118th Dr Portland OR 97266-4929 | |
| (503) 914-8302 | |
| Not Available |
| Full Name | Counseling Corner Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7393 Se 118th Dr, Portland, Oregon |
| Authorized Official Name and Position | Jedidiah Smith (OWNER) |
| Authorized Official Contact | 5039148302 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Corner Llc 7393 Se 118th Dr Portland OR 97266-4929 Ph: () - | Counseling Corner Llc 7393 Se 118th Dr Portland OR 97266-4929 Ph: (503) 914-8302 |
| NPI Number | 1477293918 |
|---|---|
| Provider Enumeration Date | 03/31/2022 |
| Last Update Date | 03/31/2022 |
| Certification Date | 03/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477293918 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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