Organization
LIFE REFORMATION COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LUKE C MATTEUCCI MS MA LPC NCC MAC (COUNSELOR)
(971) 732-6614
Entity
Organization
Contact information
Practice address
1009 SE EDWARDS DR, DUNDEE, OR 97115-9601
(971) 732-6614
Mailing address
1009 SE EDWARDS DR, DUNDEE, OR 97115-9601
(971) 732-6614
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
C3379
OR
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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