Deeper Well Psychotherapy And Counseling, Llc | |
120 Sw 4th St Corvallis OR 97333-4724 | |
(541) 262-0080 | |
Not Available |
Full Name | Deeper Well Psychotherapy And Counseling, Llc |
---|---|
Speciality | Marriage & Family Therapist |
Location | 120 Sw 4th St, Corvallis, Oregon |
Authorized Official Name and Position | Maria P Orr (OWNER) |
Authorized Official Contact | 8313315993 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Deeper Well Psychotherapy And Counseling, Llc 3316 Se Hathaway Dr Corvallis OR 97333-9262 Ph: (831) 331-5993 | Deeper Well Psychotherapy And Counseling, Llc 120 Sw 4th St Corvallis OR 97333-4724 Ph: (541) 262-0080 |
NPI Number | 1548748361 |
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Provider Enumeration Date | 08/02/2018 |
Last Update Date | 04/10/2023 |
Certification Date | 04/10/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548748361 | NPI | - | NPPES |
1497192306 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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