Professional Counseling Group Llc | |
388 State St Ste 600 Salem OR 97301-3583 | |
(971) 375-1523 | |
Not Available |
Full Name | Professional Counseling Group Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 388 State St Ste 600, Salem, Oregon |
Authorized Official Name and Position | Shannon Connor (OWNER/DIRECTOR) |
Authorized Official Contact | 5038576861 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Professional Counseling Group Llc 657 Se Cooper St Dallas OR 97338-1945 Ph: (503) 857-6861 | Professional Counseling Group Llc 388 State St Ste 600 Salem OR 97301-3583 Ph: (971) 375-1523 |
NPI Number | 1740980887 |
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Provider Enumeration Date | 03/07/2023 |
Last Update Date | 09/28/2023 |
Certification Date | 09/28/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740980887 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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