Organization
DEEP WATER COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY Y MACIAS LPC (OWNER)
(541) 604-2646
Entity
Organization
Contact information
Practice address
128 W ANTLER AVE, REDMOND, OR 97756-1852
(541) 604-2646
Mailing address
915 SW RIMROCK WAY # 201-271, REDMOND, OR 97756-2570
(541) 604-2646
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
04/19/2024
Last updated
04/19/2024
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