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Organization
WINDING TREE COUNSELING SERVICES LLC
Active
Organization
WINDING TREE COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA A SOAL LPC (OWNER/CLINICAL THERAPIST)
(541) 690-8003
Entity
Organization
Contact information
Practice address
916 W 10TH ST STE 100, MEDFORD, OR 97501-3018
(541) 690-8003
(541) 843-2854
Mailing address
1367 LAWNRIDGE ST, MEDFORD, OR 97504-6245
(978) 602-2094
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C4092
OR
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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