Organization
ENLIGHTEN COUNSELING AND CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DESTREE LYNN THOMPSON LPC, CRC (OWNER)
(971) 915-9344
Entity
Organization
Contact information
Practice address
2659 COMMERCIAL ST SE STE 216, SALEM, OR 97302-4496
(971) 915-9344
(503) 966-0983
Mailing address
980 ORCHARDVIEW AVE NW, SALEM, OR 97304-1962
(971) 915-9344
(503) 966-0983
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851878797
—
OR
Enumeration date
12/29/2022
Last updated
12/29/2022
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