| Nueva Vista Counseling Llc | |
|
905 Fuller Ln Se Salem OR 97306-3601 | |
| (458) 209-9084 | |
| Not Available |
| Full Name | Nueva Vista Counseling Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 905 Fuller Ln Se, Salem, Oregon |
| Authorized Official Name and Position | Alejandra Miranda Rodriguez (LPC) |
| Authorized Official Contact | 4582099084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nueva Vista Counseling Llc 905 Fuller Ln Se Salem OR 97306-3601 Ph: (458) 209-9084 | Nueva Vista Counseling Llc 905 Fuller Ln Se Salem OR 97306-3601 Ph: (458) 209-9084 |
| NPI Number | 1619734050 |
|---|---|
| Provider Enumeration Date | 03/04/2024 |
| Last Update Date | 03/04/2024 |
| Certification Date | 03/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619734050 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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