| Free Spirit Counseling Llc | |
|
9249 Nw 31st St Terrebonne OR 97760 | |
| (541) 316-0206 | |
| Not Available |
| Full Name | Free Spirit Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 9249 Nw 31st St, Terrebonne, Oregon |
| Authorized Official Name and Position | Casey Romine (OWNER) |
| Authorized Official Contact | 5414108713 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Free Spirit Counseling Llc 16232 Sw Lower Bridge Way Terrebonne OR 97760-9678 Ph: (541) 316-0206 | Free Spirit Counseling Llc 9249 Nw 31st St Terrebonne OR 97760 Ph: (541) 316-0206 |
| NPI Number | 1659945202 |
|---|---|
| Provider Enumeration Date | 05/18/2021 |
| Last Update Date | 02/14/2023 |
| Certification Date | 02/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659945202 | NPI | - | NPPES |
| 500810955 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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