Organization
THERAPY TO SHINE
Active
Other names
Shine Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA HARGETT LCSW (THERAPIST)
(541) 556-3850
Entity
Organization
Contact information
Practice address
210 E 6TH AVE, JUNCTION CITY, OR 97448
(541) 556-3850
Mailing address
30131 SUBSTATION DR, HARRISBURG, OR 97446-9702
(541) 556-3850
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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