Organization
GOLDEN MOTH COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL J OLIVER (ORGANIZER)
(503) 757-9309
Entity
Organization
Contact information
Practice address
615 NW 2ND AVE UNIT 51, CANBY, OR 97013-0800
(503) 433-5368
Mailing address
615 NW 2ND AVE UNIT 51, CANBY, OR 97013-0800
(503) 433-5368
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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