Organization
BORN TO THRIVE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONI JACOBSON (OWNER/OPERATOR)
(971) 274-1419
Entity
Organization
Contact information
Practice address
635 SE JUNIPER CT E, GRESHAM, OR 97080-7853
(971) 274-1419
Mailing address
635 SE JUNIPER CT E, GRESHAM, OR 97080-7853
(971) 274-1419
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/23/2020
Last updated
11/23/2020
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