| Emily Alexandria Prevo, | |
|
3700 Midway Dr, Baker City, OR 97814-1456 | |
| (541) 523-8320 | |
| (541) 523-8325 |
| Full Name | Emily Alexandria Prevo |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 3700 Midway Dr, Baker City, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841976479 | NPI | - | NPPES |
| B093405 | Other | OR | ODL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | T-23-2789 (Oregon) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | PENDING (Oregon) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Emily Alexandria Prevo, 3425 13th St, Baker City, OR 97814-1340 Ph: (541) 523-7400 | Emily Alexandria Prevo, 3700 Midway Dr, Baker City, OR 97814-1456 Ph: (541) 523-8320 |
Ms. Amy Cloudt, CADC I Counselor Medicare: Not Enrolled in Medicare Practice Location: 3600 13th St, Baker City, OR 97814 Phone: 541-523-9559 Fax: 541-523-8067 | |
Raeann J Butler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 4th St, Baker City, OR 97814 Phone: 541-523-3646 | |
Cassie Glerup, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 4th St, Baker City, OR 97814 Phone: 541-523-3646 Fax: 541-523-7602 | |
Ted Woodruff, CRM Counselor Medicare: Not Enrolled in Medicare Practice Location: 3425 13th St, Baker City, OR 97814 Phone: 541-523-7400 Fax: 541-523-4927 | |
Shad M Thomas, LCSW, MSW, CADC III Counselor Medicare: Medicare Enrolled Practice Location: 2200 4th St, Baker City, OR 97814 Phone: 541-573-7303 Fax: 541-573-5938 | |
Dara Michelle Fields, FNP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 4th Street, Baker City, OR 97814 Phone: 541-523-3646 Fax: 541-523-7602 | |
Katie Elizabeth Leal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3425 13th St, Baker City, OR 97814 Phone: 541-523-7400 Fax: 541-523-7400 |