Organization
WELL ROOTED COUNSELING AND CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBEKAH LANCELIN LPC (OWNER)
(541) 708-9878
Entity
Organization
Contact information
Practice address
5441 S MACADAM AVE STE N, PORTLAND, OR 97239-6106
(541) 708-9878
Mailing address
922 NW CIRCLE BLVD PMB 160-257, CORVALLIS, OR 97330-1483
(541) 708-9878
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/18/2025
Last updated
01/18/2025
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