Organization
OREGON MENTAL HEALTH SERVICES,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY J SELLA LCSW (CLINIC OWNER)
(608) 835-5050
Entity
Organization
Contact information
Practice address
165 W NETHERWOOD ST STE A, OREGON, WI 53575-1107
(608) 835-5050
(608) 835-5010
Mailing address
165 W NETHERWOOD ST STE A, OREGON, WI 53575-1107
(608) 835-5050
(608) 835-5010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2513
WI
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
03/02/2007
Last updated
12/16/2024
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