Organization
PHOENIX COUNSELING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE LIEN LPC (DIRECTOR)
(541) 535-4133
Entity
Organization
Contact information
Practice address
149 S MAIN ST, PHOENIX, OR 97535
(541) 535-4133
(541) 535-5458
Mailing address
PO BOX 1257, PHOENIX, OR 97535
(541) 535-4133
(541) 535-5458
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
NO NUMBER
OR
Other
Enumeration date
04/08/2008
Last updated
06/22/2015
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