Intentional Living Programs, LLC
NPI #1013550441 in The Dalles, Oregon
Provider Information
- NPI Number
- 1013550441
- Entity Type
- Organization
- Organization Name
- Intentional Living Programs, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Oct 17, 2019
- Last Updated
- Oct 17, 2019
Practice Location
- Address
- 405 W 4TH ST
- City
- The Dalles
- State
- Oregon
- ZIP Code
- 97058-1305
- Phone
- (541) 298-8227
Authorized Official
- Name
- SANDRA BARTHOLOMEW, LCSW
- Title
- OWNER
- Phone
- (541) 298-8227
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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