| Reawakening Therapy Group | |
|
905 Main St Ste 205 Klamath Falls OR 97601-6066 | |
| (661) 301-1793 | |
| Not Available |
| Full Name | Reawakening Therapy Group |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 905 Main St Ste 205, Klamath Falls, Oregon |
| Authorized Official Name and Position | Gustavo Barrientos (OWNER) |
| Authorized Official Contact | 6613011793 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reawakening Therapy Group 905 Main St Ste 205 Klamath Falls OR 97601-6066 Ph: (661) 301-1793 | Reawakening Therapy Group 905 Main St Ste 205 Klamath Falls OR 97601-6066 Ph: (661) 301-1793 |
| NPI Number | 1871229302 |
|---|---|
| Provider Enumeration Date | 07/27/2022 |
| Last Update Date | 07/27/2022 |
| Certification Date | 07/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871229302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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