Sparrow Professional Development & Counseling Center

NPI #1881358901 in Dallas, Oregon

Provider Information

NPI Number: 1881358901
Entity Type: Organization
Organization Name: Sparrow Professional Development & Counseling Center
Primary Specialty: Counselor
Enumeration Date: Oct 25, 2021
Last Updated: Nov 5, 2021

Practice Location

Address: 607 SE JEFFERSON ST
City: Dallas
State: Oregon
ZIP Code: 97338-2025
Phone: (503) 910-6822

Authorized Official

Name: SLAD F THACKERAY
Title: DIRECTOR/OWNER
Phone: (503) 910-6822

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X
Counselor	101Y00000X	Primary

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