Organization
INTEGRATIVE MIND BODY PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA JUZA-HAMRICK LCSW (SOCIAL WORKER/ OWNER)
(541) 293-3039
Entity
Organization
Contact information
Practice address
818 SW FOREST AVE STE B, REDMOND, OR 97756-2737
(541) 293-3039
Mailing address
8114 SW POKEGAMA DR, POWELL BUTTE, OR 97753-1564
(541) 293-3039
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
09/30/2024
Last updated
09/30/2024
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