Organization
MINDFUL WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY SHAMBLIN LCSW (LICENSED CLINICAL SOCIAL WORKER)
(541) 973-1361
Entity
Organization
Contact information
Practice address
13797 E EVANS CREEK RD, ROGUE RIVER, OR 97537-9778
(541) 973-1361
Mailing address
PO BOX 1504, ROGUE RIVER, OR 97537-1504
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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