Coastal Counseling & Consulting LLC

NPI #1063020691 in Newport, Oregon

Provider Information

NPI Number: 1063020691
Entity Type: Organization
Organization Name: Coastal Counseling & Consulting LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jul 20, 2020
Last Updated: Jul 20, 2020

Practice Location

Address: 1638 N COAST HWY
City: Newport
State: Oregon
ZIP Code: 97365-2357
Phone: (541) 819-2121

Authorized Official

Name: PEGGY DEFAZIO
Title: OWNER - PROVIDER
Phone: (541) 265-0884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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