OrganizationActive
Life Reformation Counseling
NPI 1184089401 · Community/Behavioral Health Agency · Dundee, OR
Provider details
- NPI number
- 1184089401
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Luke Matteucci, Counselor(971) 732-6614
- License
- C3379 (OR)
Specialties & taxonomies
Agencies
Practice location
1009 Se Edwards Dr
Dundee, OR 97115-9601
Phone: (971) 732-6614
Approximate (ZIP-level) locationGet directions
Mailing address
1009 Se Edwards Dr
Dundee, OR 97115-9601
Registry dates
- Enumerated
- 2015-12-31
- Last updated
- 2015-12-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.