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Organization
THRIVE COUNSELING AND MEDIATION PRACTICE, LLC
Active
Organization
THRIVE COUNSELING AND MEDIATION PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE SALZWEDEL-KEMP (REGISTERED AGENT)
(541) 591-1946
Entity
Organization
Contact information
Practice address
905 MAIN ST STE 210, KLAMATH FALLS, OR 97601-6066
(541) 591-1946
Mailing address
517 N LAGUNA ST, KLAMATH FALLS, OR 97601-2349
(541) 591-1946
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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