| Phoenix Counseling Center, Inc. | |
|
149 S Main St Phoenix OR 97535 | |
| (541) 535-4133 | |
| (541) 535-5458 |
| Full Name | Phoenix Counseling Center, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 149 S Main St, Phoenix, Oregon |
| Authorized Official Name and Position | Jacqueline Lien (DIRECTOR) |
| Authorized Official Contact | 5415354133 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Counseling Center, Inc. Po Box 1257 Phoenix OR 97535 Ph: (541) 535-4133 | Phoenix Counseling Center, Inc. 149 S Main St Phoenix OR 97535 Ph: (541) 535-4133 |
| NPI Number | 1376716571 |
|---|---|
| Provider Enumeration Date | 04/08/2008 |
| Last Update Date | 06/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376716571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | NO NUMBER (Oregon) | Primary |
Jose Luis Garcia Ma Ms Lpc Mental Health Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4414 S Pacific Hwy Ste 5, Phoenix, OR 97535 Phone: 541-292-0907 |