Organization
JOURNEY TO DISCOVERY COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI ANN WILSON LCSW (SOLE MEMBER)
(541) 606-7390
Entity
Organization
Contact information
Practice address
1234 PEARL ST STE 4B, EUGENE, OR 97401-3642
(541) 393-2280
(541) 575-8821
Mailing address
88099 LINDSAY LN, VENETA, OR 97487-9698
(541) 393-2280
(541) 575-8821
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/09/2019
Last updated
03/09/2019
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