| Heart Space Counseling | |
|
1962 Mae St Ashland OR 97520-2523 | |
| (805) 750-2433 | |
| Not Available |
| Full Name | Heart Space Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1962 Mae St, Ashland, Oregon |
| Authorized Official Name and Position | Bradlie Carpenter (CREDENTIALING) |
| Authorized Official Contact | 9789060418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart Space Counseling 401 Ne 19th Ave Ste 200 Portland OR 97232-4800 Ph: () - | Heart Space Counseling 1962 Mae St Ashland OR 97520-2523 Ph: (805) 750-2433 |
| NPI Number | 1528882982 |
|---|---|
| Provider Enumeration Date | 11/12/2024 |
| Last Update Date | 11/12/2024 |
| Certification Date | 11/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528882982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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