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Organization
GRASSROOTS COUNSELING AND CONSULTING LLC
Active
Organization
GRASSROOTS COUNSELING AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DANNECKER (DIRECTOR OF OPERATIONS)
(503) 420-3194
Entity
Organization
Contact information
Practice address
2405 FRONT ST NE STE 230, SALEM, OR 97301-0860
(503) 420-3194
(971) 453-0032
Mailing address
2405 FRONT ST NE STE 230, SALEM, OR 97301-0860
(503) 420-3194
(971) 453-0032
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164828885
—
OR
05
—
1447580493
—
OR
05
—
1528581352
—
OR
05
—
1780437327
—
OR
Enumeration date
04/11/2024
Last updated
08/27/2026
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