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Organization
LUTHERAN COMMUNITY SERVICES NW
Active
Organization
LUTHERAN COMMUNITY SERVICES NW
Active
Parent organization
LUTHERAN COMMUNITY SERVICES NW
Other names
Lutheran Community Services NW - Terrebonne
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUTHERAN COMMUNITY SERVICES NW
Authorized official
DANIEL JOHNSTON (CONTRACT AND GRANT ADMINISTRATOR)
(206) 816-3223
Entity
Organization
Contact information
Practice address
1199 B AVE, TERREBONNE, OR 97760-9440
(541) 504-3829
(541) 548-5889
Mailing address
2545 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6423
(541) 883-3471
(541) 883-3524
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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