| Courage Psychotherapy, Llc | |
|
1 12th St Ste 208 Astoria OR 97103-4146 | |
| (503) 470-1520 | |
| Not Available |
| Full Name | Courage Psychotherapy, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1 12th St Ste 208, Astoria, Oregon |
| Authorized Official Name and Position | Grace K Jacobson (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 5034701520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Courage Psychotherapy, Llc 1 12th St Ste 208 Astoria OR 97103-4146 Ph: () - | Courage Psychotherapy, Llc 1 12th St Ste 208 Astoria OR 97103-4146 Ph: (503) 470-1520 |
| NPI Number | 1396476883 |
|---|---|
| Provider Enumeration Date | 06/23/2022 |
| Last Update Date | 01/16/2023 |
| Certification Date | 01/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396476883 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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