| Ultreia Counseling Services, Llc | |
|
2105 Liberty St Ne Salem OR 97301-8353 | |
| (503) 569-3183 | |
| Not Available |
| Full Name | Ultreia Counseling Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2105 Liberty St Ne, Salem, Oregon |
| Authorized Official Name and Position | Alma P Nechi-garibay (OWNER) |
| Authorized Official Contact | 5035693183 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultreia Counseling Services, Llc 2855 Wiggles Ct Ne Salem OR 97301-7465 Ph: (503) 569-3183 | Ultreia Counseling Services, Llc 2105 Liberty St Ne Salem OR 97301-8353 Ph: (503) 569-3183 |
| NPI Number | 1598395824 |
|---|---|
| Provider Enumeration Date | 01/26/2020 |
| Last Update Date | 01/26/2020 |
| Certification Date | 01/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598395824 | NPI | - | NPPES |
| 1790064301 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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