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Organization

GOLD PATH THERAPY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA RENEE PALLIN LCSW (OWNER/LCSW CLINICIAN)
(541) 294-9770
Entity
Organization

Contact information

Practice address
999 N FRONT ST STE 225, COOS BAY, OR 97420-4909
(541) 297-6516
Mailing address
PO BOX 1048, COOS BAY, OR 97420-0227
(541) 294-9770
(877) 514-3809

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
05/27/2026
Last updated
06/17/2026
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