Organization
GOLDEN BRAID THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA NIERENBERG LCSW (SOLE PROVIDER)
(541) 250-0617
Entity
Organization
Contact information
Practice address
636 SW 2ND ST, CORVALLIS, OR 97333-4442
(541) 250-0617
Mailing address
636 SW 2ND ST, CORVALLIS, OR 97333-4442
(541) 250-0617
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/14/2020
Last updated
05/01/2025
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