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Organization
VIVIFY THERAPEUTICS, LLC
Active
Organization
VIVIFY THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA GARDNER LPC (OWNER)
(971) 237-7390
Entity
Organization
Contact information
Practice address
315 NE EVANS ST STE 3, MCMINNVILLE, OR 97128-4627
(971) 237-7390
Mailing address
221 NW 10TH ST, MCMINNVILLE, OR 97128-5015
(971) 237-7390
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/04/2022
Last updated
03/04/2022
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