| Mary's River Counseling, Llc | |
|
2364 Main St Bldg A Philomath OR 97370-9488 | |
| (541) 708-0937 | |
| Not Available |
| Full Name | Mary's River Counseling, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2364 Main St, Philomath, Oregon |
| Authorized Official Name and Position | Nicolaus Goebeler (MANAGER) |
| Authorized Official Contact | 5417080937 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary's River Counseling, Llc 2364 Main St Bldg A Philomath OR 97370-9488 Ph: (541) 708-0937 | Mary's River Counseling, Llc 2364 Main St Bldg A Philomath OR 97370-9488 Ph: (541) 708-0937 |
| NPI Number | 1801268180 |
|---|---|
| Provider Enumeration Date | 10/26/2015 |
| Last Update Date | 10/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801268180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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