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Organization
PHILOMATH COUNSELING, LLC
Active
Organization
PHILOMATH COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE A GREGG LCSW (MEMBER)
(541) 929-2878
Entity
Organization
Contact information
Practice address
1229 MAIN ST. #105, PHILOMATH, OR 97370
(541) 929-2878
(541) 929-3770
Mailing address
PO BOX 1606, PHILOMATH, OR 97370-1606
(541) 929-2878
(541) 929-3770
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4097
OR
Other
Enumeration date
09/14/2017
Last updated
09/14/2017
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