| Still Waters Counseling | |
|
442 Nw Wade Street Estacada OR 97023 | |
| (541) 561-8127 | |
| Not Available |
| Full Name | Still Waters Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 442 Nw Wade Street, Estacada, Oregon |
| Authorized Official Name and Position | Antonio Clifton Long-drew (OWNER/OPERATOR) |
| Authorized Official Contact | 5415618127 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Still Waters Counseling 442 Nw Wade St Estacada OR 97023-9744 Ph: (541) 561-8127 | Still Waters Counseling 442 Nw Wade Street Estacada OR 97023 Ph: (541) 561-8127 |
| NPI Number | 1699261990 |
|---|---|
| Provider Enumeration Date | 07/10/2018 |
| Last Update Date | 07/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699261990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | R4884 (Oregon) | Primary |
Manabat Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 40505 Se Highway 224 # 101, Estacada, OR 97023 Phone: 971-381-8125 Fax: 971-600-9027 |