Organization
THRIVE FAMILY THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON ELIZABETH WHITE LMFT (MARRIAGE AND FAMILY THERAPY)
(801) 560-0424
Entity
Organization
Contact information
Practice address
257 SW MADISON AVE STE 230, CORVALLIS, OR 97333-4924
(801) 560-0424
Mailing address
257 SW MADISON AVE # 257, CORVALLIS, OR 97333-4757
(801) 560-0424
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
11/15/2022
Last updated
09/13/2024
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