| Motivational Parent | |
|
50 Carmel Ct Roseburg OR 97471-4606 | |
| (541) 900-8244 | |
| Not Available |
| Full Name | Motivational Parent |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 50 Carmel Ct, Roseburg, Oregon |
| Authorized Official Name and Position | Jason Wilcox (DIRECTOR) |
| Authorized Official Contact | 5419008244 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Motivational Parent 1414 Nw Valley View Dr # 107 Roseburg OR 97471-1760 Ph: (541) 900-8244 | Motivational Parent 50 Carmel Ct Roseburg OR 97471-4606 Ph: (541) 900-8244 |
| NPI Number | 1316608441 |
|---|---|
| Provider Enumeration Date | 12/30/2021 |
| Last Update Date | 12/30/2021 |
| Certification Date | 12/30/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316608441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 251V00000X | Voluntary Or Charitable | (* (Not Available)) | Secondary |
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