Umpqua Counseling PC
Clinical Nurse Specialist, Psych/Mental Health in Roseburg, OR. Organization (NPI-2).
NPI number1346354446
StatusActive
Last updated in NPPESAug 23, 2007
Details
- NPI
- 1346354446
- Entity type
- Organization (NPI-2)
- Legal business name
- Umpqua Counseling PC
- Organization subpart
- No
- Enumeration date
- Aug 18, 2006
- Last updated
- Aug 23, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364SP0808X | Clinical Nurse Specialist, Psych/Mental Health | – | OR | Yes |
| 101YP2500X | Counselor, Professional | – | OR | |
| 1041C0700X | Social Worker, Clinical | – | OR |
Other names
- Umpqua Counseling (Doing Business As)
Practice location
770 Se Kane StRoseburg, OR 97470-3943
Phone 541-673-0057 · Fax 541-673-2270
Mailing address
770 Se Kane StRoseburg, OR 97470-3943
Phone 541-673-0057 · Fax 541-673-2270
Authorized official
Ken Serkownek
Owner
5416730057
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