Creative Roots Therapy, Llc

NPI 1144607961 - Counselor - 101YP2500X

NPI Details
NPI 1144607961
Enumeration Date 04/30/2015
Last Updated 07/18/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name ERIN ELIZABETH ERIN
Position OWNER/THERAPIST
Phone (541) 808-4719
Fax
Practice Location
375 PARK AVE
SUITE B
COOS BAY OR, 97420, US
Phone (541) 808-4719
Fax
Business Location
PO BOX 576
COOS BAY OR, 97420, US
Phone (541) 808-4719
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Oregon
License Number C3450
Remove 1144607961 NPI Number
 

According to our database, Creative Roots Therapy, Llc NPI is 1144607961, taxonomy code is 101YP2500X and license number is C3450, license state is located at Oregon. Creative Roots Therapy, Llc physically located at 375 Park Ave, Coos Bay OR, 97420. NPI Number 1033115704 has the healthcare provider type.

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1144607961 NPI number is provided on an as is basis without warranty of any kind. 1144607961 is maintained by the National Plan & Provider Enumeration System. The contents of Creative Roots Therapy, Llc are for informational purposes only.