Healthcare Provider Details

I. General information

NPI: 1508795956
Provider Name (Legal Business Name): BISSON COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1023 18TH ST
MYRTLE POINT OR
97458-1507
US

IV. Provider business mailing address

PO BOX 254
MYRTLE POINT OR
97458-0254
US

V. Phone/Fax

Practice location:
  • Phone: 541-813-3001
  • Fax:
Mailing address:
  • Phone: 541-813-3001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: JEANNE BISSON
Title or Position: OWNER
Credential: LMFT
Phone: 541-661-6774