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Organization
COURAGE PSYCHOTHERAPY, LLC
Active
Organization
COURAGE PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE K JACOBSON PSYD (LICENSED PSYCHOLOGIST)
(503) 470-1520
Entity
Organization
Contact information
Practice address
1 12TH ST STE 208, ASTORIA, OR 97103-4146
(503) 470-1520
Mailing address
1 12TH ST STE 201B, ASTORIA, OR 97103-4146
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
06/23/2022
Last updated
01/07/2026
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