| Roseburg Therapy Llc | |
|
272 Nw Medical Loop Ste E Roseburg OR 97471-5545 | |
| (740) 225-5342 | |
| Not Available |
| Full Name | Roseburg Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 272 Nw Medical Loop Ste E, Roseburg, Oregon |
| Authorized Official Name and Position | Robert Josh Lydon (OWNER/OPERATOR) |
| Authorized Official Contact | 5419004285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roseburg Therapy Llc 272 Nw Medical Loop Ste E Roseburg OR 97471-5545 Ph: () - | Roseburg Therapy Llc 272 Nw Medical Loop Ste E Roseburg OR 97471-5545 Ph: (740) 225-5342 |
| NPI Number | 1477211480 |
|---|---|
| Provider Enumeration Date | 12/07/2021 |
| Last Update Date | 12/07/2021 |
| Certification Date | 12/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477211480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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