| Jose Luis Garcia Ma Ms Lpc Mental Health Counseling | |
|
4414 S Pacific Hwy Ste 5 Phoenix OR 97535-6600 | |
| (541) 292-0907 | |
| Not Available |
| Full Name | Jose Luis Garcia Ma Ms Lpc Mental Health Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4414 S Pacific Hwy Ste 5, Phoenix, Oregon |
| Authorized Official Name and Position | Melynda Owens (OFFICE MANAGER) |
| Authorized Official Contact | 5415008655 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jose Luis Garcia Ma Ms Lpc Mental Health Counseling Po Box 4752 Medford OR 97501-0197 Ph: (541) 500-8655 | Jose Luis Garcia Ma Ms Lpc Mental Health Counseling 4414 S Pacific Hwy Ste 5 Phoenix OR 97535-6600 Ph: (541) 292-0907 |
| NPI Number | 1700400306 |
|---|---|
| Provider Enumeration Date | 05/31/2020 |
| Last Update Date | 05/31/2020 |
| Certification Date | 05/31/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700400306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Phoenix Counseling Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 149 S Main St, Phoenix, OR 97535 Phone: 541-535-4133 Fax: 541-535-5458 |