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Organization
MENDING MINDS COUNSELING LLC
Active
Organization
MENDING MINDS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATARA WILSON MS (LPC/ MEMBER)
(541) 450-9351
Entity
Organization
Contact information
Practice address
223 SE H ST, GRANTS PASS, OR 97526-3038
(541) 450-9351
Mailing address
223 SE H ST, GRANTS PASS, OR 97526-3038
(541) 450-9351
(541) 393-9792
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/29/2026
Last updated
08/27/2026
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