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Organization
ROSEBURG THERAPY LLC
Active
Organization
ROSEBURG THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT JOSH LYDON LCSW L7631 (OWNER/OPERATOR)
(541) 620-0425
Entity
Organization
Contact information
Practice address
2460 NW TROOST ST, ROSEBURG, OR 97471-7704
(541) 900-4285
(888) 810-2993
Mailing address
2460 NW TROOST ST, ROSEBURG, OR 97471-7704
(541) 900-4285
(888) 810-2993
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
L7631
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500743892
—
OR
Enumeration date
04/03/2018
Last updated
04/13/2026
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