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Organization
FOUR GATES PSYCHOTHERAPY LLC
Active
Organization
FOUR GATES PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL R. NICHOLSON LCSW (CLINICAL SOCIAL WORKER)
(541) 301-3559
Entity
Organization
Contact information
Practice address
1651 SISKIYOU BLVD, ASHLAND, OR 97520-2400
(530) 643-7750
Mailing address
400 COVE RD, ASHLAND, OR 97520-9068
(541) 694-2721
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/28/2023
Last updated
08/28/2023
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