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Organization
PACIFIC NW MINDFUL CHANGE LLC
Active
Organization
PACIFIC NW MINDFUL CHANGE LLC
Active
Other names
Michelle Retton, Pacific NW Therapy Collective
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LEE RETTON (LCSW)
(540) 824-4461
Entity
Organization
Contact information
Practice address
541 WILLAMETTE ST STE 315, EUGENE, OR 97401-2692
(540) 824-4461
(503) 400-7452
Mailing address
541 WILLAMETTE ST STE 315, EUGENE, OR 97401-2692
(540) 824-4461
(503) 400-7452
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/14/2026
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