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NPI Code Detail

MEDICARE: JOIE DE VIVRE COUNSELING LLC

MEDICARE: JOIE DE VIVRE 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
1251B00000XCase Management Agency
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1497220206
Entity Type Code : Organization
Provider Name (Legal Business Name) : JOIE DE VIVRE COUNSELING LLC
Provider Business Mailing Address
First Line : 1300 SW PARK AVE APT 2316
Second Line :
City : PORTLAND
State : OR
Zip : 97201-3663
Country : US
Telephone Number : 571-278-2063
Fax Number : 971-266-4443
Provider Business Practice Location Address
First Line : 15110 BOONES FERRY RD STE 350
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-3461
Country : US
Telephone Number : 571-278-2063
Fax Number :
Authorized Official
Title or Position : OWNER
Name : JOAN LAGUZZA
Credential : LCSW
Telephone Number : 571-278-2063
Provider Enumeration Date : 10/08/2018
Last Update Date : 02/14/2022

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Directions to “JOIE DE VIVRE COUNSELING LLC ” Practice Location

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