| Prelude | |
|
230 Sw 3rd St Corvallis OR 97333-4692 | |
| (503) 490-7076 | |
| Not Available |
| Full Name | Prelude |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 230 Sw 3rd St, Corvallis, Oregon |
| Authorized Official Name and Position | Melissa Grossman-naples (CLINICAL DIRECTOR, OWNER) |
| Authorized Official Contact | 5034907076 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prelude 230 Sw 3rd St Corvallis OR 97333-4692 Ph: (503) 490-7076 | Prelude 230 Sw 3rd St Corvallis OR 97333-4692 Ph: (503) 490-7076 |
| NPI Number | 1225882368 |
|---|---|
| Provider Enumeration Date | 04/15/2024 |
| Last Update Date | 04/15/2024 |
| Certification Date | 04/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225882368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
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