# DEEPER WELL PSYCHOTHERAPY AND COUNSELING, LLC

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

## Provider details

- **NPI number:** 1548748361
- **Authorized official:** MARIA P ORR MA, LMFT (OWNER)
- **Authorized official phone:** (831) 331-5993

## Contact information

- **Practice address:** 120 SW 4TH ST, CORVALLIS, OR 97333-4724
- **Practice address phone:** (541) 262-0080
- **Mailing address:** 3316 SE HATHAWAY DR, CORVALLIS, OR 97333-9262
- **Mailing address phone:** (831) 331-5993

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 08/02/2018
- **Last updated:** 04/10/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1497192306 | — | OR |