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NPI Code Detail

MEDICARE: NEW DESTINY COUNSELING, LLC

MEDICARE: NEW DESTINY COUNSELING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1013659523
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEW DESTINY COUNSELING, LLC
Provider Business Mailing Address
First Line : 5 E 24TH AVE
Second Line :
City : EUGENE
State : OR
Zip : 97405-2907
Country : US
Telephone Number : 541-515-0900
Fax Number :
Provider Business Practice Location Address
First Line : 5 E 24TH AVE
Second Line :
City : EUGENE
State : OR
Zip : 97405-2907
Country : US
Telephone Number : 541-515-0900
Fax Number : 541-799-0789
Authorized Official
Title or Position : COUNSELOR/DIRECTOR
Name : JUDITH ANA CASTRO
Credential : LMFT
Telephone Number : 541-515-0900
Provider Enumeration Date : 04/13/2022
Last Update Date : 03/28/2026

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Directions to “NEW DESTINY COUNSELING, LLC ” Practice Location

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