| Hope For Change Counseling | |
|
2205 S Church St Dallas OR 97338-9742 | |
| (503) 930-7349 | |
| Not Available |
| Full Name | Hope For Change Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2205 S Church St, Dallas, Oregon |
| Authorized Official Name and Position | Jaclyn Renee Braziel (OWNER/MANAGER/EMPLOYEE) |
| Authorized Official Contact | 5039307349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope For Change Counseling 2205 S Church St Dallas OR 97338-9742 Ph: (503) 930-7349 | Hope For Change Counseling 2205 S Church St Dallas OR 97338-9742 Ph: (503) 930-7349 |
| NPI Number | 1942944079 |
|---|---|
| Provider Enumeration Date | 04/25/2022 |
| Last Update Date | 04/25/2022 |
| Certification Date | 04/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942944079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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