Cottage Grove Counseling Clinic, Inc.
NPI #1023138088 in Cottage Grove, Oregon
Provider Information
- NPI Number
- 1023138088
- Entity Type
- Organization
- Organization Name
- Cottage Grove Counseling Clinic, Inc.
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Mar 30, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 411 WASHINGTON AVE
- City
- Cottage Grove
- State
- Oregon
- ZIP Code
- 97424-2060
- Phone
- (541) 942-8060
Authorized Official
- Name
- MR. GARY N REISS, LCSW
- Title
- DIRECTOR
- Phone
- (541) 686-8060
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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