Quiet Waters Counseling LLC

NPI #1609626076 in Dallas, Oregon

Provider Information

NPI Number: 1609626076
Entity Type: Organization
Organization Name: Quiet Waters Counseling LLC
Primary Specialty: Counselor - Professional
Enumeration Date: Mar 26, 2024
Last Updated: Mar 26, 2024

Practice Location

Address: 1277 SE SHELTON ST
City: Dallas
State: Oregon
ZIP Code: 97338-2537
Phone: (458) 233-3136

Authorized Official

Name: KIMBERLI ANN WICKS, LPC
Title: OWNER
Phone: (458) 233-3136

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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