Organization
WATERFALL COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA COX M.A. (MEMBER/MANAGER)
(503) 862-8145
Entity
Organization
Contact information
Practice address
215 E MAIN ST, MOLALLA, OR 97038-8128
(503) 862-8145
Mailing address
601 MAY ST, MOLALLA, OR 97038-8108
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R4640
OR
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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