| Metamorphosis Counseling And Consultation, Llc | |
|
388 State St Ste 340 Salem OR 97301-3536 | |
| (971) 283-4884 | |
| Not Available |
| Full Name | Metamorphosis Counseling And Consultation, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 388 State St Ste 340, Salem, Oregon |
| Authorized Official Name and Position | Christina Henderson (OWNER) |
| Authorized Official Contact | 9712834884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Metamorphosis Counseling And Consultation, Llc 388 State St Ste 340 Salem OR 97301-3536 Ph: (971) 283-4884 | Metamorphosis Counseling And Consultation, Llc 388 State St Ste 340 Salem OR 97301-3536 Ph: (971) 283-4884 |
| NPI Number | 1881270130 |
|---|---|
| Provider Enumeration Date | 03/18/2021 |
| Last Update Date | 03/01/2023 |
| Certification Date | 03/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881270130 | NPI | - | NPPES |
| 500729525 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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