Provider Demographics
NPI:1922365832
Name:P & P THERAPEUTIC COUNSELING INC
Entity Type:Organization
Organization Name:P & P THERAPEUTIC COUNSELING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PORSHEA
Authorized Official - Middle Name:
Authorized Official - Last Name:PENDLETON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:541-485-1167
Mailing Address - Street 1:767 WILLAMETTE ST
Mailing Address - Street 2:SUITE 306
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-2952
Mailing Address - Country:US
Mailing Address - Phone:541-485-1167
Mailing Address - Fax:
Practice Address - Street 1:767 WILLAMETTE ST
Practice Address - Street 2:SUITE 306
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2952
Practice Address - Country:US
Practice Address - Phone:541-485-1167
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-16
Last Update Date:2012-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health