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Organization

TRANSITIONS COUNSELING SERVICES, LLC

Active
Other names
LYNN E JOHNSON, LCSW
Organization subpart
No

Provider details

NPI number
Authorized official
CAROLANN J TATE (OFFICE MANAGER)
(509) 493-1467
Entity
Organization

Contact information

Practice address
2101 MAIN ST, SUITE 204, BAKER CITY, OR 97814-2621
(541) 524-0800
(509) 493-3765
Mailing address
PO BOX 1298, THE DALLES, OR 97058-9298
(509) 493-1467
(509) 493-3765

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
L2571
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
278888
MANAGED HEALTH NETWORK
OR
01
808073000
REGENCE BCBS
OR
01
YA60301
PACIFIC SOURCE
OR
Enumeration date
01/04/2007
Last updated
06/04/2012
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