Organization
HEALTHY U
Active
Other names
Illinois Valley Counseling and Support
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE ANN RENSENBRINK LCSW (EXECUTIVE DIRECTOR)
(541) 592-4888
Entity
Organization
Contact information
Practice address
535 E RIVER ST, CAVE JUNCTION, OR 97523-9336
(541) 592-4888
Mailing address
PO BOX 1491, CAVE JUNCTION, OR 97523-1491
(541) 592-4888
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/10/2012
Last updated
01/22/2014
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