Organization
FOUREIGHT TRANSITIONS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRIS KOVASH LPC (CLINICAL DIRECTOR)
(541) 843-4848
Entity
Organization
Contact information
Practice address
180 LITHIA WAY STE 204, ASHLAND, OR 97520-1891
(541) 843-4848
Mailing address
180 LITHIA WAY STE 204, ASHLAND, OR 97520-1891
(541) 843-4848
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/10/2022
Last updated
03/05/2024
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