| Mindful Healing Nw | |
|
2086 Ne Lucy Belle St Mcminnville OR 97128-9261 | |
| (503) 208-6643 | |
| Not Available |
| Full Name | Mindful Healing Nw |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2086 Ne Lucy Belle St, Mcminnville, Oregon |
| Authorized Official Name and Position | Sydnee Ettelson (LPC/CO-OWNER) |
| Authorized Official Contact | 5032086643 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Healing Nw 2086 Ne Lucy Belle St Mcminnville OR 97128-9261 Ph: (503) 208-6643 | Mindful Healing Nw 2086 Ne Lucy Belle St Mcminnville OR 97128-9261 Ph: (503) 208-6643 |
| NPI Number | 1619741568 |
|---|---|
| Provider Enumeration Date | 11/10/2023 |
| Last Update Date | 11/10/2023 |
| Certification Date | 11/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619741568 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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