Organization
MID-COLUMBIA CHILD & FAMILY CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVAN FRASIER M.A., LPC, LMFT (EXECUTIVE DIRECTOR)
(541) 298-5104
Entity
Organization
Contact information
Practice address
3221 W 10TH ST, THE DALLES, OR 97058-4373
(541) 298-5104
(541) 298-4108
Mailing address
3221 W 10TH ST, THE DALLES, OR 97058-4373
(541) 298-5104
(541) 298-4108
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
OR
Other
Enumeration date
01/19/2007
Last updated
08/22/2020
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