Organization
NORTH COAST CONNECTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA KATHERINE ADAMS (OWNER)
(971) 235-0917
Entity
Organization
Contact information
Practice address
1406 MARINE DR, ASTORIA, OR 97103-3808
(503) 218-3771
Mailing address
1406 MARINE DR, ASTORIA, OR 97103-3808
(503) 218-3771
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437666542
—
OR
Enumeration date
01/15/2022
Last updated
07/18/2022
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