Organization
KLAMATH CHILD & FAMILY TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTHA SUE MCGOWEN M.A., LPC (FAMILY THERAPIST)
(541) 883-1030
Entity
Organization
Contact information
Practice address
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6418
(541) 883-1030
Mailing address
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6418
(541) 883-1030
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
101YM0800X
OR
Other
Enumeration date
11/22/2010
Last updated
11/22/2010
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