| Golden Moth Counseling Llc | |
|
615 Nw 2nd Ave Unit 51 Canby OR 97013-0800 | |
| (503) 433-5368 | |
| Not Available |
| Full Name | Golden Moth Counseling Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 615 Nw 2nd Ave Unit 51, Canby, Oregon |
| Authorized Official Name and Position | April J Oliver (ORGANIZER) |
| Authorized Official Contact | 5037579309 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Moth Counseling Llc 615 Nw 2nd Ave Unit 51 Canby OR 97013-0800 Ph: (503) 433-5368 | Golden Moth Counseling Llc 615 Nw 2nd Ave Unit 51 Canby OR 97013-0800 Ph: (503) 433-5368 |
| NPI Number | 1205611084 |
|---|---|
| Provider Enumeration Date | 08/29/2023 |
| Last Update Date | 08/29/2023 |
| Certification Date | 08/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205611084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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