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Organization
PRINEVILLE COUNSELING CENTER LLC
Active
Organization
PRINEVILLE COUNSELING CENTER LLC
Active
Other names
Prineville Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA HAMLIN LPC (CLINICAL SUPERVISOR)
(541) 416-3697
Entity
Organization
Contact information
Practice address
190 NW 4TH ST, PRINEVILLE, OR 97754-1820
(541) 416-3697
(541) 416-3707
Mailing address
190 NW 4TH ST, PRINEVILLE, OR 97754-1820
(541) 416-3697
(541) 416-3707
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500696762
—
OR
Enumeration date
08/18/2020
Last updated
08/18/2020
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