| Wild River Counseling And Consultation, Llc | |
|
235 W Main St Jacksonville OR 97530-9278 | |
| (541) 414-6746 | |
| Not Available |
| Full Name | Wild River Counseling And Consultation, Llc |
|---|---|
| Speciality | Counselor |
| Location | 235 W Main St, Jacksonville, Oregon |
| Authorized Official Name and Position | Marjorie Beck (OWNER) |
| Authorized Official Contact | 5412922093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wild River Counseling And Consultation, Llc Po Box 1694 Jacksonville OR 97530-1694 Ph: (541) 414-6746 | Wild River Counseling And Consultation, Llc 235 W Main St Jacksonville OR 97530-9278 Ph: (541) 414-6746 |
| NPI Number | 1831723642 |
|---|---|
| Provider Enumeration Date | 03/02/2020 |
| Last Update Date | 09/20/2023 |
| Certification Date | 09/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831723642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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