Bean Bag Therapy

NPI #1275205379 in Fairview, Oregon

Provider Information

NPI Number: 1275205379
Entity Type: Organization
Organization Name: Bean Bag Therapy
Primary Specialty: Counselor - Mental Health
Enumeration Date: Sep 28, 2021
Last Updated: Sep 28, 2021

Practice Location

Address: 25 6TH ST
City: Fairview
State: Oregon
ZIP Code: 97024-1941
Phone: (818) 579-2029

Authorized Official

Name: MRS. LISA PEACOCK MCLAUGHLIN, LMFT
Title: SOLE PROPRIETOR/ONLY MEMBER
Phone: (818) 579-2029

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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