| Revive Counseling Services | |
|
3704 La Marada Way Klamath Falls OR 97603-7632 | |
| (541) 205-9226 | |
| Not Available |
| Full Name | Revive Counseling Services |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3704 La Marada Way, Klamath Falls, Oregon |
| Authorized Official Name and Position | Tina Marie Karrle (CLINICIAN) |
| Authorized Official Contact | 5412059226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Counseling Services 3704 La Marada Way Klamath Falls OR 97603-7632 Ph: (541) 205-9226 | Revive Counseling Services 3704 La Marada Way Klamath Falls OR 97603-7632 Ph: (541) 205-9226 |
| NPI Number | 1689498412 |
|---|---|
| Provider Enumeration Date | 11/08/2024 |
| Last Update Date | 11/08/2024 |
| Certification Date | 11/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689498412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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