| Meristem Counseling Center Llc | |
|
257 Sw Madison Ave Ste 206 Corvallis OR 97333-4757 | |
| (206) 397-6066 | |
| Not Available |
| Full Name | Meristem Counseling Center Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 257 Sw Madison Ave Ste 206, Corvallis, Oregon |
| Authorized Official Name and Position | Shawn Moling (OWNER) |
| Authorized Official Contact | 2063976066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Meristem Counseling Center Llc 257 Sw Madison Ave Ste 206 Corvallis OR 97333-4757 Ph: () - | Meristem Counseling Center Llc 257 Sw Madison Ave Ste 206 Corvallis OR 97333-4757 Ph: (206) 397-6066 |
| NPI Number | 1053164236 |
|---|---|
| Provider Enumeration Date | 04/08/2024 |
| Last Update Date | 04/29/2024 |
| Certification Date | 04/29/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053164236 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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