| Kavya Mudiam, | |
|
1 Serenity Ln, Coburg, OR 97408-9350 | |
| (615) 663-0773 | |
| Not Available |
| Full Name | Kavya Mudiam |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1 Serenity Ln, Coburg, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508521733 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 21-QMHA-R-1774 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kavya Mudiam, 1 Serenity Ln, Coburg, OR 97408-9350 Ph: () - | Kavya Mudiam, 1 Serenity Ln, Coburg, OR 97408-9350 Ph: (615) 663-0773 |
Kara Lonberg, CADC 2 Counselor Medicare: Not Enrolled in Medicare Practice Location: 91150 N Coburg Industrial Way, Coburg, OR 97408 Phone: 541-284-5652 Fax: 541-465-3148 | |
Geramie Mark Mccormick, CRM II, CADC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 91150 N Coburg Industrial Way, Coburg, OR 97408 Phone: 541-284-5645 | |
Tanja Desalles Looker, CADC 1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 91150 N Coburg Industrial Way, Coburg, OR 97408 Phone: 541-284-5709 | |
Mason Anthony Marin, CADC-R, CRM 1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Serenity Ln, Coburg, OR 97408 Phone: 541-606-3308 | |
Jeffrey Hugh Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 91150 N Coburg Industrial Way, Coburg, OR 97408 Phone: 541-687-1110 | |
Jenae Hulsey Katelyn Hulsey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Serenity Ln, Coburg, OR 97408 Phone: 541-687-1110 | |
Jaclyn Bogner, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Serenity Ln, Coburg, OR 97408 Phone: 541-687-1110 |