Evergreen Wellness Counseling LLC

NPI #1134907546 in Corvallis, Oregon

Provider Information

NPI Number: 1134907546
Entity Type: Organization
Organization Name: Evergreen Wellness Counseling LLC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Sep 18, 2023
Last Updated: Nov 4, 2023

Practice Location

Address: 999 NW CIRCLE BLVD
City: Corvallis
State: Oregon
ZIP Code: 97330-1408
Phone: (541) 754-2225

Authorized Official

Name: ANGELA MIERAU, LCSW
Title: LCSW
Phone: (541) 754-2225

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X	Primary

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