Organization
HARVARD COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY THERESE FORTIER LCSW (PRESIDENT/LCSW)
(541) 464-4900
Entity
Organization
Contact information
Practice address
1813 W HARVARD AVE, SUITE 230, ROSEBURG, OR 97470-2752
(541) 464-4900
(541) 464-4577
Mailing address
1813 W HARVARD AVE, SUITE 230, ROSEBURG, OR 97470-2752
(541) 464-4900
(541) 464-4577
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
L2416
OR
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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