Shade Tree Counseling

NPI #1023688439 in Salem, Oregon

Provider Information

NPI Number: 1023688439
Entity Type: Organization
Organization Name: Shade Tree Counseling
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jun 28, 2021
Last Updated: Jun 28, 2021

Practice Location

Address: 4210 BARRETT ST S
City: Salem
State: Oregon
ZIP Code: 97302-6106
Phone: (503) 949-1026

Authorized Official

Name: ROBERT WAYNE NIELSEN, LCSW
Title: PARTNER
Phone: (503) 949-1026

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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