Individual
MS. LOUISE J CACKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
1620 THOMPSON RD, COOS BAY, OR 97420-2150
(541) 269-2986
(541) 266-8640
Mailing address
1890 WAITE ST, NORTH BEND, OR 97459-1229
(541) 756-6232
(541) 756-6234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
C2686
OR
Other
Enumeration date
06/06/2007
Last updated
02/12/2016
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