Organization
HEATHER HILLS THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH J SUNZERI LMFT (PRESIDENT)
(541) 266-7669
Entity
Organization
Contact information
Practice address
92651 HEATHER LN, COOS BAY, OR 97420-7246
(541) 266-7669
Mailing address
92651 HEATHER LN, COOS BAY, OR 97420-7246
(541) 266-7669
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0589
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
T0589
OREGON LICENSE
OR
Enumeration date
08/14/2009
Last updated
08/14/2009
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