| Sprague Counseling And Consulting, Llc | |
|
18650 Sw Boones Ferry Rd Tualatin OR 97062-8491 | |
| (503) 351-5858 | |
| Not Available |
| Full Name | Sprague Counseling And Consulting, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 18650 Sw Boones Ferry Rd, Tualatin, Oregon |
| Authorized Official Name and Position | Mackenzie Callis (MEMBER) |
| Authorized Official Contact | 5033515858 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sprague Counseling And Consulting, Llc Po Box 922 Sherwood OR 97140-0922 Ph: () - | Sprague Counseling And Consulting, Llc 18650 Sw Boones Ferry Rd Tualatin OR 97062-8491 Ph: (503) 351-5858 |
| NPI Number | 1205597564 |
|---|---|
| Provider Enumeration Date | 01/07/2022 |
| Last Update Date | 01/07/2022 |
| Certification Date | 01/07/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205597564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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