# CENTER FOR ACCEPTANCE AND WELLNESS P.C

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

## Provider details

- **NPI number:** 1598535320
- **Authorized official:** KIM MARIA CANSINO LMFT (OWNER)
- **Authorized official phone:** (747) 258-5004

## Contact information

- **Practice address:** 168 SW COURT ST, DALLAS, OR 97338-3105
- **Practice address phone:** (503) 751-1222
- **Practice address fax:** (503) 751-1229
- **Mailing address:** 141 SW NEWTON DR, DALLAS, OR 97338-9038
- **Mailing address phone:** (747) 258-5004

## Taxonomy

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

## Other

- **Enumeration date:** 01/03/2024
- **Last updated:** 05/02/2024