| Evergreen Counseling And Consultation | |
|
8855 Sw Holly Ln Ste 111 Wilsonville OR 97070-8793 | |
| (503) 902-8431 | |
| Not Available |
| Full Name | Evergreen Counseling And Consultation |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8855 Sw Holly Ln Ste 111, Wilsonville, Oregon |
| Authorized Official Name and Position | Evan Michael Lafountain (OWNER) |
| Authorized Official Contact | 2196698267 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Counseling And Consultation 2822 Walnut Ct Hubbard OR 97032-9692 Ph: (219) 669-8267 | Evergreen Counseling And Consultation 8855 Sw Holly Ln Ste 111 Wilsonville OR 97070-8793 Ph: (503) 902-8431 |
| NPI Number | 1295629806 |
|---|---|
| Provider Enumeration Date | 06/06/2025 |
| Last Update Date | 06/18/2025 |
| Certification Date | 06/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295629806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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