| Water Cup Counseling | |
|
852 Sw 15th St Redmond OR 97756-2507 | |
| (541) 527-5802 | |
| (541) 526-0300 |
| Full Name | Water Cup Counseling |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 852 Sw 15th St, Redmond, Oregon |
| Authorized Official Name and Position | Barry William Gridley (LMFT THERAPIST.) |
| Authorized Official Contact | 5415275802 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Water Cup Counseling 2318 Se Jefferson Dr Prineville OR 97754-8891 Ph: (541) 527-5802 | Water Cup Counseling 852 Sw 15th St Redmond OR 97756-2507 Ph: (541) 527-5802 |
| NPI Number | 1588182984 |
|---|---|
| Provider Enumeration Date | 09/06/2017 |
| Last Update Date | 09/06/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588182984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | T-1233 (Oregon) | Primary |
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