Organization
HOUSE OF HEALING OREGON LLC
Active
Other names
House of Healing
Organization subpart
No
Provider details
NPI number
Authorized official
NONIE COUVRETTE JARVIE (OWNER)
(541) 601-2217
Entity
Organization
Contact information
Practice address
815 BENNETT AVE, MEDFORD, OR 97504-6715
(541) 414-4026
Mailing address
815 BENNETT AVE, MEDFORD, OR 97504-6715
(541) 414-4026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
225700000X
Massage Therapist
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1811135759
NPI
OR
Enumeration date
02/26/2024
Last updated
02/26/2024
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