Mr Todd A Danielson, LPC | |
1750 Thompson Rd, Coos Bay, OR 97420-2195 | |
(541) 269-0333 | |
Not Available |
Full Name | Mr Todd A Danielson |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1750 Thompson Rd, Coos Bay, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144481938 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | C6906 (Oregon) | Primary |
Entity Name | Bay Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538174958 PECOS PAC ID: 9638164874 Enrollment ID: O20040417000310 |
Mailing Address | Practice Location Address |
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Mr Todd A Danielson, LPC 1750 Thompson Rd, Coos Bay, OR 97420-2100 Ph: (541) 269-0333 | Mr Todd A Danielson, LPC 1750 Thompson Rd, Coos Bay, OR 97420-2195 Ph: (541) 269-0333 |
Sholana Shoberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2020 Thompson Rd, Coos Bay, OR 97420 Phone: 541-267-3511 Fax: 541-267-3512 | |
Tony Donato, MS, MFT, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Tricia Pl, Coos Bay, OR 97420 Phone: 541-404-9286 | |
Lindsi Poole, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2020 Thompson Rd, Coos Bay, OR 97420 Phone: 541-267-3511 Fax: 541-267-3512 | |
Ms. Sarah Beth Campbell, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 375 Park Ave, Ste 2, Coos Bay, OR 97420 Phone: 559-374-2240 Fax: 855-324-3730 | |
Ms. Erin Elizabeth Spier, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 375 Park Ave, Suite 2, Coos Bay, OR 97420 Phone: 541-808-4719 Fax: 541-756-8982 | |
Rebecca Hartley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1885 Thompson Rd, Coos Bay, OR 97420 Phone: 541-266-8480 Fax: 541-266-8479 | |
Natalie Hutcheson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2020 Thompson Rd, Coos Bay, OR 97420 Phone: 541-267-3511 |