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Organization
REAWAKENING THERAPY GROUP
Active
Organization
REAWAKENING THERAPY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GUSTAVO BARRIENTOS JR. QMHP (OWNER)
(661) 301-1793
Entity
Organization
Contact information
Practice address
905 MAIN ST STE 205, KLAMATH FALLS, OR 97601-6066
(661) 301-1793
Mailing address
905 MAIN ST STE 205, KLAMATH FALLS, OR 97601-6066
(661) 301-1793
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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