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Organization
WELL AWARE THERAPY, LLC
Active
Organization
WELL AWARE THERAPY, LLC
Active
Other names
Well Aware Therapy Center
Organization subpart
No
Provider details
NPI number
Authorized official
KOLTEN KENNEDY MA (MANAGER)
(541) 972-1145
Entity
Organization
Contact information
Practice address
132 E BROADWAY STE 323, EUGENE, OR 97401-3154
(541) 972-1145
Mailing address
132 E BROADWAY STE 323, EUGENE, OR 97401-3154
(541) 972-1145
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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