Organization
TOG COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISH ANNE OLEARY GOLDSTEIN LCSW (OWNER)
(971) 716-1710
Entity
Organization
Contact information
Practice address
640 NE 3RD ST STE 200, MCMINNVILLE, OR 97128-4630
(971) 716-1710
(971) 423-0654
Mailing address
3495 NE JACOB ST, MCMINNVILLE, OR 97128-8902
(971) 716-1710
(971) 423-0654
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1205238995
—
OR
Enumeration date
01/02/2024
Last updated
01/02/2024
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