# MB COUNSELING LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457031452
- **Authorized official:** MELISSA BROWN LCSW (OWNER/PROVIDER)
- **Authorized official phone:** (541) 910-9124

## Contact information

- **Practice address:** 62107 FRUITDALE LN, LA GRANDE, OR 97850
- **Practice address phone:** (541) 910-9124
- **Mailing address:** 62107 FRUITDALE LN, LA GRANDE, OR 97850-5313
- **Mailing address phone:** (541) 910-9124
- **Mailing address fax:** (360) 844-5184

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2023
- **Last updated:** 08/19/2026
