Organization
EVERGREEN COUNSELING & LIFE SKILLS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELENA C MEYER M.S. (MENTAL HEALTH THERAPIST)
(541) 890-2572
Entity
Organization
Contact information
Practice address
14 COTTAGE ST, MEDFORD, OR 97504-7332
(541) 890-2572
(541) 779-3260
Mailing address
661 LYNN LANE, CENTRAL POINT, OR 97502
(541) 890-2572
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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