Organization · Type 2 NPI
Conscious Life Counseling, LLC
Adult Mental Health Clinic/Center · Medford, OR
NPI number
1740894856
Active
Practice location
107 E Main St Ste 7
Medford, OR 97501-6022
Mailing address
2253 Ridge Way
Medford, OR 97504-6388
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Mental Health Clinic/Center Primary | 261QM0850X | None listed |
Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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About NPI 1740894856
Conscious Life Counseling, LLC's National Provider Identifier is 1740894856, issued on Sep 4, 2020. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Medford, OR. The record was last updated on Sep 4, 2020.