Organization
BIRCH GROVE COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HOLLAND-KLEIN LCSW (OWNER)
(907) 388-4689
Entity
Organization
Contact information
Practice address
4720 RIVER RD N, KEIZER, OR 97303-4536
(907) 388-4689
(503) 318-2212
Mailing address
4720 RIVER RD N, KEIZER, OR 97303-4536
(907) 388-4689
(503) 318-2212
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L4684
OR
Other
Enumeration date
01/25/2011
Last updated
01/25/2011
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