Organization
UMPQUA COUNSELING PC
Active
Other names
Umpqua counseling
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEN SERKOWNEK PH.D (OWNER)
(541) 673-0057
Entity
Organization
Contact information
Practice address
770 SE KANE ST, ROSEBURG, OR 97470-3943
(541) 673-0057
(541) 673-2270
Mailing address
770 SE KANE ST, ROSEBURG, OR 97470-3943
(541) 673-0057
(541) 673-2270
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
OR
1041C0700X
Clinical Social Worker
—
OR
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
—
OR
Other
Enumeration date
08/18/2006
Last updated
08/23/2007
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