Organization
COASTAL CENTER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY HOWELL LCSW (MEMBER)
(541) 267-2113
Entity
Organization
Contact information
Practice address
125 CENTRAL AVE, SUITE 290, COOS BAY, OR 97420-2316
(541) 267-2113
(541) 267-5071
Mailing address
125 W. CENTRAL AVE,, SUITE 290, COOS BAY, OR 97420
(541) 267-2113
(541) 267-5071
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW638
OR
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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