Organization
EVERGREEN WELLNESS COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MIERAU LCSW (LCSW)
(541) 754-2225
Entity
Organization
Contact information
Practice address
999 NW CIRCLE BLVD, CORVALLIS, OR 97330-1408
(541) 754-2225
Mailing address
999 NW CIRCLE BLVD, CORVALLIS, OR 97330-1408
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/18/2023
Last updated
11/04/2023
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