Creekside Counseling Inc | |
2586 12th Place Se Salem OR 97302 | |
(503) 371-4160 | |
(503) 375-9727 |
Full Name | Creekside Counseling Inc |
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Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 2586 12th Place Se, Salem, Oregon |
Authorized Official Name and Position | Michael L Laharty (CEO) |
Authorized Official Contact | 5033714160 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Creekside Counseling Inc Po Box 4169 Salem OR 97302 Ph: (503) 371-4160 | Creekside Counseling Inc 2586 12th Place Se Salem OR 97302 Ph: (503) 371-4160 |
NPI Number | 1215139720 |
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Provider Enumeration Date | 06/05/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215139720 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
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