Bennett Creek Therapy, LLC
NPI #1720793482 in Cottage Grove, Oregon
Provider Information
- NPI Number
- 1720793482
- Entity Type
- Organization
- Organization Name
- Bennett Creek Therapy, LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Jan 17, 2023
- Last Updated
- Jan 17, 2023
Practice Location
- Address
- 650 BENNETT CREEK RD
- City
- Cottage Grove
- State
- Oregon
- ZIP Code
- 97424-1007
- Phone
- (541) 556-4606
Authorized Official
- Name
- ANJANETTE TUCKMAN, LCSW
- Title
- OWNER
- Phone
- (541) 556-4606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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