Organization · Type 2 NPI
Bounce Back Therapy, LLC
Professional Counselor · Lyons, OR
NPI number
1417548736
Active
Practice location
11351 Pioneer Rd SE
Lyons, OR 97358-9759
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
About NPI 1417548736
Bounce Back Therapy, LLC's National Provider Identifier is 1417548736, issued on Jan 29, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lyons, OR. The record was last updated on Jul 26, 2023.