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Organization
INNOVATIVE HEALTH & WELLNESS LLC 2
Active
Organization
INNOVATIVE HEALTH & WELLNESS LLC 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLOS R POLLARD (CEO)
(702) 324-2126
Entity
Organization
Contact information
Practice address
2300 HUMBUG CREEK RD, JACKSONVILLE, OR 97530-9617
(702) 522-7363
Mailing address
2300 HUMBUG CREEK RD, JACKSONVILLE, OR 97530-9617
(702) 522-7363
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
07/22/2020
Last updated
07/22/2020
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