NPI 1811773989 · live from the CMS NPI Registry
A New Life Christian Counseling & Consultation
Counselor, Mental Health in Wilsonville, OR. National Provider Identifier 1811773989, active.
NPI record
| NPI | 1811773989 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 28925 Sw Boberg Rd, Wilsonville, OR 97070 |
| Practice phone | 360-952-4602 |
| Enumerated | September 5, 2023 |
| Last updated | September 5, 2023 |
| Authorized official | Brad Peterson, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | — |
| Counselor, Mental Health primary | 101YM0800X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.