Organization
JEREMY A. SPRINGER, LCSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY ALAN SPRINGER LCSW (OWNER)
(541) 861-9128
Entity
Organization
Contact information
Practice address
500 WASHINGTON ST, THE DALLES, OR 97058-2217
(541) 861-9128
(509) 773-3247
Mailing address
36 FOREST HILL LN, GOLDENDALE, WA 98620-2518
(541) 861-9128
(509) 773-3247
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500651547
—
OR
Enumeration date
08/25/2020
Last updated
08/25/2020
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