Organization
CREEKSIDE COUNSELING, INC
Active
Organization
CREEKSIDE COUNSELING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONIA CASTILLEJA BS, CADC 1 (CASE MANAGER/ INSURANCE SPECIALIST)
(503) 371-4160
Entity
Organization
Contact information
Practice address
2586 12TH PL SE, SALEM, OR 97302-2536
(503) 371-4160
Mailing address
2586 12TH PL SE, SALEM, OR 97302
(503) 371-4160
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
08-03-04
OR
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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