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Organization

EMBERLEAF COLLECTIVE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CELESTE LONSBERY LPC (SOLE MEMBER)
(541) 299-2350
Entity
Organization

Contact information

Practice address
629 KINGS CT, CENTRAL POINT, OR 97502-2122
(541) 209-6619
Mailing address
PO BOX 5109, CENTRAL POINT, OR 97502-0045
(541) 209-6619
(541) 704-7209

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500797971
OR
Enumeration date
07/15/2025
Last updated
07/15/2025
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