Innovative Health & Wellness LLC 2
NPI #1598373870 in Jacksonville, Oregon
Provider Information
- NPI Number
- 1598373870
- Entity Type
- Organization
- Organization Name
- Innovative Health & Wellness LLC 2
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Jul 22, 2020
- Last Updated
- Jul 22, 2020
Practice Location
- Address
- 2300 HUMBUG CREEK RD
- City
- Jacksonville
- State
- Oregon
- ZIP Code
- 97530-9617
- Phone
- (702) 522-7363
Authorized Official
- Name
- CARLOS R POLLARD
- Title
- CEO
- Phone
- (702) 324-2126
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Health Worker |
| Counselor - Mental Health — Mental Health |
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