| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MICHAELA JUDAH | 1568841401 | 2015-05-26 |
Michaela Judah is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1568841401. Registration indicates Michaela Judah is a provider of services with a specialization in Behavioral Health & Social Service Providers, Marriage & Family Therapist (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Michaela Judah |
| Practice Office Address | 1650 SW 45TH PL CORVALLIS, OR US |
| Practice Office Telephone | 5417578068 |
| Practice Office Fax | 5417581030 |
| Mailing Address | 780 COMMERCIAL ST SE STE 303 SALEM, OR 973013455 US |
| Business Telephone | 5419716841 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 32200 Old Oak Dr | Tangent, OR 973899793 | 5412208927 |
| 607 SE Jefferson St | Dallas, OR 973382025 | 5419716841 |
| Code | Practice | License No State |
|---|---|---|
| 106H00000X PRIMARY | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | T1759
OR |
| 101YM0800X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor |