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Organization
FREE SPIRIT COUNSELING LLC
Active
Organization
FREE SPIRIT COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY ROMINE (OWNER)
(541) 410-8713
Entity
Organization
Contact information
Practice address
9249 NW 31ST ST, TERREBONNE, OR 97760
(541) 316-0206
Mailing address
16232 SW LOWER BRIDGE WAY, TERREBONNE, OR 97760-9678
(541) 316-0206
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500810955
—
OR
Enumeration date
05/18/2021
Last updated
02/14/2023
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