| Evergreen Counseling & Life Skills, Llc | |
|
14 Cottage St Medford OR 97504-7332 | |
| (541) 890-2572 | |
| (541) 779-3260 |
| Full Name | Evergreen Counseling & Life Skills, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 14 Cottage St, Medford, Oregon |
| Authorized Official Name and Position | Elena C Meyer (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 5418902572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Counseling & Life Skills, Llc 661 Lynn Lane Central Point OR 97502 Ph: (541) 890-2572 | Evergreen Counseling & Life Skills, Llc 14 Cottage St Medford OR 97504-7332 Ph: (541) 890-2572 |
| NPI Number | 1881942498 |
|---|---|
| Provider Enumeration Date | 08/29/2012 |
| Last Update Date | 08/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881942498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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