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Creative Roots Therapy Llc
Professional Counselor in Coos Bay, Oregon
NPI 1144607961

Creative Roots Therapy Llc is a Professional Counselor based in Coos Bay, OR and is specialized in Professional. Creative Roots Therapy Llc practices in Coos Bay, OR. The NPI Number for Creative Roots Therapy Llc is 1144607961 and holds a License No. C3450 (Oregon).

The current practice location address for Creative Roots Therapy Llc is 375 Park Ave, Coos Bay, OR and can be reached out via phone at 541-808-4719.

Location: 375 Park Ave, Coos Bay, OR, 97420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144607961
Provider Name
Creative Roots Therapy Llc
Credential
Provider Entity Type
Organization
Address
375 Park Ave, Coos Bay, OR, 97420
Phone Number
541-808-4719
Fax Number
Provider Enumeration Date
04/30/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
500673890 05 OR
institution
Provider Business Practice Location Address Details
Address
375 Park Ave
City
Coos Bay
State
Oregon
Zip
97420
Phone Number
541-808-4719
Fax Number
person
Provider Business Mailing Address Details
Address
375 Park Ave
City
Coos Bay
State
Oregon
Zip
97420
Phone Number
541-808-4719
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
C3450 (Oregon)
Definition
Definition to come...
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