Organization
CASEY KOHL LCSW LLC DBA MID-VALLEY MINDFULNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY KOHL LCSW (OWNER)
(458) 280-9031
Entity
Organization
Contact information
Practice address
1701 W HARVARD AVE # 204, ROSEBURG, OR 97471-2716
(458) 280-9031
Mailing address
1701 W HARVARD AVE # 204, ROSEBURG, OR 97471-2716
(459) 280-9031
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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