Laura Brum, | |
318 S Holladay Dr, Seaside, OR 97138-6728 | |
(503) 325-5722 | |
(503) 717-1415 |
Full Name | Laura Brum |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 318 S Holladay Dr, Seaside, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992122717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 0014981 (Colorado) | Primary |
Entity Name | Centennial Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861479677 PECOS PAC ID: 5193717213 Enrollment ID: O20040331000194 |
Mailing Address | Practice Location Address |
---|---|
Laura Brum, 65 N Highway 101 Ste 204, Warrenton, OR 97146-9371 Ph: (503) 325-5722 | Laura Brum, 318 S Holladay Dr, Seaside, OR 97138-6728 Ph: (503) 325-5722 |
Mr. Clark Miner, CADC I Counselor Medicare: Not Enrolled in Medicare Practice Location: 2367 S Roosevelt Dr, Seaside, OR 97138 Phone: 971-132-0316 Fax: 503-738-2116 | |
Kelli Hackett Crane, MA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3095 Highway 101 N Ste 11-1071, Seaside, OR 97138 Phone: 503-765-9080 | |
Ms. Kristine Ruth Hansen, CADC II Counselor Medicare: Not Enrolled in Medicare Practice Location: 1325 N Holladay Dr, Seaside, OR 97138 Phone: 503-738-7700 | |
Allison Myers, CADC1, QMHA-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 Forest Ct, Seaside, OR 97138 Phone: 503-602-5672 | |
Jane Mary Merrill, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 Broadway St, Seaside, OR 97138 Phone: 419-322-4450 | |
Lisa Marie Kalilnowski, CADC1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2367 S Roosevelt Dr, Seaside, OR 97138 Phone: 971-320-3130 Fax: 503-738-2116 | |
Ms. Margo E Pabst, CADC II, NCACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 2367 S Roosevelt Dr, Seaside, OR 97138 Phone: 503-239-8400 |