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Organization
A NEW LIFE CHRISTIAN COUNSELING & CONSULTATION
Active
Organization
A NEW LIFE CHRISTIAN COUNSELING & CONSULTATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD PETERSON (OWNER)
(360) 952-4602
Entity
Organization
Contact information
Practice address
28925 SW BOBERG RD, WILSONVILLE, OR 97070-8218
(360) 952-4602
Mailing address
28925 SW BOBERG RD, WILSONVILLE, OR 97070-8218
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
—
NULL
106H00000X
Marriage & Family Therapist
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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