Organization
NORTHWEST INSTITUTE FOR INTEGRATIVE COUNSELING AND TRAINING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ISAMU MANOCK PH.D., MS MFT, LMFT (FOUNDER-PRESIDENT)
(503) 881-0513
Entity
Organization
Contact information
Practice address
355 HIGH ST SE, SALEM, OR 97301-3613
(503) 881-0513
Mailing address
355 HIGH ST SE, SALEM, OR 97301-3613
(503) 881-0513
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
T0808
OR
Other
Enumeration date
04/17/2015
Last updated
04/17/2015
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