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Organization
FORGING PATHS COUNSELING, LLC
Active
Organization
FORGING PATHS COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER PATRICK BROCK M.S., LPC (OWNER)
(971) 205-2783
Entity
Organization
Contact information
Practice address
189 LIBERTY ST NE # 202D, SALEM, OR 97301-3682
(971) 384-5158
Mailing address
189 LIBERTY ST NE # 202D, SALEM, OR 97301-3682
(971) 205-2783
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
09/10/2023
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