Organization
COASTAL COUNSELING & CONSULTING LLC
Active
Other names
Coastal Counseling & Consulting LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PEGGY DEFAZIO (OWNER - PROVIDER)
(541) 265-0884
Entity
Organization
Contact information
Practice address
1638 N COAST HWY, NEWPORT, OR 97365-2357
(541) 819-2121
Mailing address
1638 N COAST HWY, NEWPORT, OR 97365-2357
(541) 819-2121
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
07/20/2020
Last updated
07/20/2020
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