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Organization

TURNING LEAF WELLNESS CENTER, LLC

Active
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Organization

TURNING LEAF WELLNESS CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD BUSTAMANTE CSWA (CO-OWNER)
(559) 978-0302
Entity
Organization

Contact information

Practice address
1706 NE SHALE CT, ROSEBURG, OR 97470-5751
(559) 978-0302
Mailing address
1706 NE SHALE CT, ROSEBURG, OR 97470-5751
(559) 978-0302

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
1041C0700X
Clinical Social Worker
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
02/18/2025
Last updated
04/21/2025
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