Organization
MINDWISE COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER LOUISE SPEAKMAN LCSW (CO-OWNER/CLINICAL DIRECTOR)
(541) 991-9585
Entity
Organization
Contact information
Practice address
4005 HIGHWAY 101 STE 1, FLORENCE, OR 97439-7804
(541) 991-9585
Mailing address
4005 HIGHWAY 101 STE 1, FLORENCE, OR 97439-7804
(541) 991-9585
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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