Golden Braid Therapy Llc | |
5305 River Rd N Ste B Keizer OR 97303-5324 | |
(541) 250-0617 | |
Not Available |
Full Name | Golden Braid Therapy Llc |
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Speciality | Social Worker - Clinical |
Location | 5305 River Rd N Ste B, Keizer, Oregon |
Authorized Official Name and Position | Tara Nierenberg (PSYCHOTHERAPIST) |
Authorized Official Contact | 5412500617 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Golden Braid Therapy Llc 2035 Nw Sunview Dr Corvallis OR 97330-2230 Ph: (541) 250-0617 | Golden Braid Therapy Llc 5305 River Rd N Ste B Keizer OR 97303-5324 Ph: (541) 250-0617 |
NPI Number | 1659979326 |
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Provider Enumeration Date | 10/14/2020 |
Last Update Date | 12/11/2020 |
Certification Date | 12/11/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659979326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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