Southern Oregon Cbt LLC
NPI #1306456058 in Jacksonville, Oregon
Provider Information
- NPI Number
- 1306456058
- Entity Type
- Organization
- Organization Name
- Southern Oregon Cbt LLC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Aug 7, 2020
- Last Updated
- Oct 29, 2024
Practice Location
- Address
- 235 W MAIN ST
- City
- Jacksonville
- State
- Oregon
- ZIP Code
- 97530-9278
- Phone
- (541) 204-4933
Authorized Official
- Name
- KACY MULLEN, PHD
- Title
- OWNER
- Phone
- (541) 500-8655
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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