Organization
VALLEY VIEW MENTAL HEALTH SERVICES, INC
Active
Other names
Valley View Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH K ECKSTEIN PH.D. (PRESIDENT)
(541) 673-3985
Entity
Organization
Contact information
Practice address
1652 NW HUGHWOOD CT, ROSEBURG, OR 97471-8844
(541) 673-3985
(541) 673-8060
Mailing address
1652 NW HUGHWOOD CT, ROSEBURG, OR 97471-8844
(541) 673-3985
(541) 673-8060
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C0681
OR
101YP2500X
Professional Counselor
C0724
OR
101YP2500X
Professional Counselor
C1119
OR
101YP2500X
Professional Counselor
C1120
OR
103TC0700X
Clinical Psychologist
710
OR
1041C0700X
Clinical Social Worker
L3313
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500692711
—
OR
01
—
816113000
REGENCE BLUE CROSS BLUE S
OR
Enumeration date
02/02/2007
Last updated
02/25/2016
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