Organization
REVIVE COUNSELING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA MARIE KARRLE CSWA (CLINICIAN)
(541) 205-9226
Entity
Organization
Contact information
Practice address
3704 LA MARADA WAY, KLAMATH FALLS, OR 97603-7632
(541) 205-9226
Mailing address
3704 LA MARADA WAY, KLAMATH FALLS, OR 97603-7632
(541) 205-9226
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/08/2024
Last updated
01/17/2025
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