Organization
PROFESSIONAL COUNSELING GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON CONNOR (OWNER/DIRECTOR)
(503) 857-6861
Entity
Organization
Contact information
Practice address
388 STATE ST STE 600, SALEM, OR 97301-3583
(971) 375-1523
Mailing address
657 SE COOPER ST, DALLAS, OR 97338-1945
(503) 857-6861
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/07/2023
Last updated
09/28/2023
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