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Organization

COUNSELING NORTHWEST, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BLANDINE LEAVITT LMFC (OWNER/THERAPIST)
(541) 773-7503
Entity
Organization

Contact information

Practice address
916 W 10TH STREET, SUITE 205, MEDFORD, OR 97501
(541) 773-7503
(541) 776-3007
Mailing address
PO BOX 1799, JACKSONVILLE, OR 97530-1799
(541) 776-7601
(541) 776-3007

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NONE
OR

Other

Enumeration date
01/02/2006
Last updated
06/15/2023
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