Organization
EVERGREEN THERAPY & TRAUMA SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CASSANDRA AGLIETTI LCSW (PRESIDENT)
(971) 458-3064
Entity
Organization
Contact information
Practice address
4380 CHERRY AVE NE, KEIZER, OR 97303-4855
(971) 458-3064
Mailing address
729 CRYSTAL SPRINGS LN N, KEIZER, OR 97303-3799
(971) 458-3064
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/22/2024
Last updated
10/30/2024
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