| Therapy Experienced | |
|
2350 Se Territorial Rd Canby OR 97013-9732 | |
| (503) 266-4444 | |
| (503) 266-7659 |
| Full Name | Therapy Experienced |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2350 Se Territorial Rd, Canby, Oregon |
| Authorized Official Name and Position | Christina Hostetler (LPC/OWNER) |
| Authorized Official Contact | 5032664444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Therapy Experienced 2350 Se Territorial Rd Canby OR 97013-9732 Ph: (503) 266-4444 | Therapy Experienced 2350 Se Territorial Rd Canby OR 97013-9732 Ph: (503) 266-4444 |
| NPI Number | 1114495371 |
|---|---|
| Provider Enumeration Date | 11/06/2018 |
| Last Update Date | 11/06/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114495371 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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