| Roseburg Counseling & Wellness | |
|
251 Ne Garden Valley Blvd Ste B Roseburg OR 97470-2085 | |
| (541) 579-8100 | |
| Not Available |
| Full Name | Roseburg Counseling & Wellness |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 251 Ne Garden Valley Blvd Ste B, Roseburg, Oregon |
| Authorized Official Name and Position | Betty Louise Wagner (OWNER) |
| Authorized Official Contact | 5415798100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roseburg Counseling & Wellness 251 Ne Garden Valley Blvd Ste B Roseburg OR 97470-2085 Ph: (541) 579-8100 | Roseburg Counseling & Wellness 251 Ne Garden Valley Blvd Ste B Roseburg OR 97470-2085 Ph: (541) 579-8100 |
| NPI Number | 1851870224 |
|---|---|
| Provider Enumeration Date | 08/07/2018 |
| Last Update Date | 08/07/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851870224 | NPI | - | NPPES |
| 11905531 | Other | OR | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L7525 (Oregon) | Primary |
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