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Organization

RADICAL NEST LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE HARVEY LCSW (OWNER/THERAPIST)
(971) 345-4119
Entity
Organization

Contact information

Practice address
880 LIBERTY ST NE STE 109, SALEM, OR 97301-2450
(971) 345-4119
(971) 345-4149
Mailing address
880 LIBERTY ST NE STE 109, SALEM, OR 97301-2450
(971) 345-4119
(971) 345-4149

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
11/23/2020
Last updated
07/24/2024
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