Gateway Counseling Center, P.c. | |
1445 Gateway Blvd Ste A Cottage Grove OR 97424-1224 | |
(541) 942-0040 | |
(541) 942-0040 |
Full Name | Gateway Counseling Center, P.c. |
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Speciality | Community/behavioral Health |
Location | 1445 Gateway Blvd Ste A, Cottage Grove, Oregon |
Authorized Official Name and Position | Diana Knee (LCSW/OWNER) |
Authorized Official Contact | 5419420040 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Gateway Counseling Center, P.c. 1445 Gateway Blvd Ste A Cottage Grove OR 97424-1224 Ph: (541) 942-0040 | Gateway Counseling Center, P.c. 1445 Gateway Blvd Ste A Cottage Grove OR 97424-1224 Ph: (541) 942-0040 |
NPI Number | 1285728105 |
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Provider Enumeration Date | 10/03/2006 |
Last Update Date | 06/17/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285728105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | L3015 (Oregon) | Primary |
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