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Organization
HOUSE OF HEALING OREGON LLC
Active
Organization
HOUSE OF HEALING OREGON LLC
Active
Other names
House of Healing
Organization subpart
No
Provider details
NPI number
Authorized official
NONIE COUVRETTE JARVIE (OWNER)
(541) 601-2217
Entity
Organization
Contact information
Practice address
815 BENNETT AVE, MEDFORD, OR 97504-6715
(541) 414-4026
Mailing address
815 BENNETT AVE, MEDFORD, OR 97504-6715
(541) 414-4026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
NULL
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
NULL
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
NULL
106H00000X
Marriage & Family Therapist
Primary
—
—
225700000X
Massage Therapist
—
NULL
225700000X
Massage Therapist
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811135759
NPI
OR
Enumeration date
02/26/2024
Last updated
02/26/2024
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