| Golden Braid Therapy Llc | |
|
5305 River Rd N Ste B Keizer OR 97303-5324 | |
| (541) 250-0617 | |
| Not Available |
| Full Name | Golden Braid Therapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 5305 River Rd N Ste B, Keizer, Oregon |
| Authorized Official Name and Position | Tara Nierenberg (PSYCHOTHERAPIST) |
| Authorized Official Contact | 5412500617 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Golden Braid Therapy Llc 2035 Nw Sunview Dr Corvallis OR 97330-2230 Ph: (541) 250-0617 | Golden Braid Therapy Llc 5305 River Rd N Ste B Keizer OR 97303-5324 Ph: (541) 250-0617 |
| NPI Number | 1659979326 |
|---|---|
| Provider Enumeration Date | 10/14/2020 |
| Last Update Date | 12/11/2020 |
| Certification Date | 12/11/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659979326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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