| Phoenix Rising Counseling And Consultation | |
|
5778 Commercial St Se Ste 101 Salem OR 97306-3081 | |
| (503) 873-8476 | |
| Not Available |
| Full Name | Phoenix Rising Counseling And Consultation |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5778 Commercial St Se Ste 101, Salem, Oregon |
| Authorized Official Name and Position | Sharon Cooper-barth (LPC) |
| Authorized Official Contact | 5038738476 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Rising Counseling And Consultation 5316 Pike Ct S Salem OR 97306-2315 Ph: (503) 873-8476 | Phoenix Rising Counseling And Consultation 5778 Commercial St Se Ste 101 Salem OR 97306-3081 Ph: (503) 873-8476 |
| NPI Number | 1447088687 |
|---|---|
| Provider Enumeration Date | 07/22/2024 |
| Last Update Date | 07/22/2024 |
| Certification Date | 07/21/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447088687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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