Nicole Goens Counseling Services LLC
Community/Behavioral Health in Grants Pass, OR. Organization (NPI-2).
NPI number1831970342
StatusActive
Last updated in NPPESOct 10, 2023
Details
- NPI
- 1831970342
- Entity type
- Organization (NPI-2)
- Legal business name
- Nicole Goens Counseling Services LLC
- Organization subpart
- No
- Enumeration date
- Oct 10, 2023
- Certification date
- Oct 10, 2023
- Last updated
- Oct 10, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
405 Ne 6th StGrants Pass, OR 97526-2060
Phone 503-894-6201 · Fax 800-433-1396
Mailing address
Po Box 1787Medford, OR 97501-0261
Phone 541-500-8655 · Fax 800-433-1396
Authorized official
Nicole Goens
Owner
5416604039
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