| Thrive Counseling And Mediation Practice, Llc | |
|
905 Main St Ste 210 Klamath Falls OR 97601-6066 | |
| (541) 591-1946 | |
| Not Available |
| Full Name | Thrive Counseling And Mediation Practice, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 905 Main St Ste 210, Klamath Falls, Oregon |
| Authorized Official Name and Position | Angie Salzwedel-kemp (REGISTERED AGENT) |
| Authorized Official Contact | 5415911946 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thrive Counseling And Mediation Practice, Llc 517 N Laguna St Klamath Falls OR 97601-2349 Ph: (541) 591-1946 | Thrive Counseling And Mediation Practice, Llc 905 Main St Ste 210 Klamath Falls OR 97601-6066 Ph: (541) 591-1946 |
| NPI Number | 1568120012 |
|---|---|
| Provider Enumeration Date | 12/01/2021 |
| Last Update Date | 12/01/2021 |
| Certification Date | 12/01/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568120012 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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