# A NEW LIFE CHRISTIAN COUNSELING & CONSULTATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811773989
- **Authorized official:** BRAD PETERSON (OWNER)
- **Authorized official phone:** (360) 952-4602

## Contact information

- **Practice address:** 28925 SW BOBERG RD, WILSONVILLE, OR 97070-8218
- **Practice address phone:** (360) 952-4602
- **Mailing address:** 28925 SW BOBERG RD, WILSONVILLE, OR 97070-8218

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 106H00000X | Marriage & Family Therapist | — | NULL | — |
| 106H00000X | Marriage & Family Therapist | — | — | — |

## Other

- **Enumeration date:** 09/05/2023
- **Last updated:** 09/05/2023