| Creekside Counseling, Inc | |
|
2586 12th Pl Se Salem OR 97302-2536 | |
| (503) 371-4160 | |
| Not Available |
| Full Name | Creekside Counseling, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2586 12th Pl Se, Salem, Oregon |
| Authorized Official Name and Position | Tonia Castilleja (CASE MANAGER/ INSURANCE SPECIALIST) |
| Authorized Official Contact | 5033714160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Creekside Counseling, Inc 2586 12th Pl Se Salem OR 97302 Ph: (503) 371-4160 | Creekside Counseling, Inc 2586 12th Pl Se Salem OR 97302-2536 Ph: (503) 371-4160 |
| NPI Number | 1063757250 |
|---|---|
| Provider Enumeration Date | 11/29/2012 |
| Last Update Date | 11/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063757250 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 08-03-04 (Oregon) | Primary |
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