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Organization

CAROUSEL PROJECT, COMMUNITY CARE COUNSELING CENTER

Active
Parent organization
CAROUSEL PROJECT LLC
Other names
Carousel Project LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
CAROUSEL PROJECT LLC
Authorized official
MRS. KAYLENE SCHOLL HENDERSON MCOUNS.,ED.D, CANDID (DIRECTOR)
(503) 991-3588
Entity
Organization

Contact information

Practice address
6994 SUNNYSIDE RD S., 1043 TWINWOOD CT NW, SALEM, OR 97306
(503) 991-3588
Mailing address
6994 SUNNYSIDE RD S., SALEM, OR 97306
(503) 991-3588

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
10/05/2023
Last updated
10/05/2023
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