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Integrated Youthcare, Llc
Psychiatric/Mental Health Nurse Practitioner in Corvallis, Oregon
NPI 1881832095

Integrated Youthcare, Llc is a Psychiatric/Mental Health Nurse Practitioner based in Corvallis, OR and is specialized in Psychiatric/Mental Health. Integrated Youthcare, Llc practices in Corvallis, OR. The NPI Number for Integrated Youthcare, Llc is 1881832095 and holds a License No. C2485 (Oregon).

The current practice location address for Integrated Youthcare, Llc is 673 Nw Jackson Ave, Corvallis, OR and can be reached out via phone at 541-230-1630.

Location: 673 Nw Jackson Ave, Corvallis, OR, 97330-4832
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1881832095
Provider Name
Integrated Youthcare, Llc
Credential
Provider Entity Type
Organization
Address
673 Nw Jackson Ave, Corvallis, OR, 97330-4832
Phone Number
541-230-1630
Fax Number
Provider Enumeration Date
01/26/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1245386440 01 OR NPI
1164568895 01 OR NPI
1881832095 01 OR NPI
1144439019 01 OR NPI
1285862938 01 OR NPI
institution
Provider Business Practice Location Address Details
Address
673 Nw Jackson Ave
City
Corvallis
State
Oregon
Zip
97330-4832
Phone Number
541-230-1630
Fax Number
person
Provider Business Mailing Address Details
Address
673 Nw Jackson Ave
City
Corvallis
State
Oregon
Zip
97330-4832
Phone Number
541-230-1630
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
L4404 (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
C2422 (Oregon)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
C2485 (Oregon)
Definition
Definition to come...
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