Ms Judy Diane Gabehart, MED, LPC | |
1911 Hazel Ave, Medford, OR 97501-1630 | |
(541) 476-2373 | |
Not Available |
Full Name | Ms Judy Diane Gabehart |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 1911 Hazel Ave, Medford, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467473934 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2000157194 (Missouri) | Secondary |
101YP2500X | Counselor - Professional | C7322 (Oregon) | Primary |
Entity Name | Brightways Counseling Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1689191165 PECOS PAC ID: 4688907827 Enrollment ID: O20190603003122 |
Mailing Address | Practice Location Address |
---|---|
Ms Judy Diane Gabehart, MED, LPC 1215 Sw G St, Grants Pass, OR 97526-2544 Ph: (541) 476-2373 | Ms Judy Diane Gabehart, MED, LPC 1911 Hazel Ave, Medford, OR 97501-1630 Ph: (541) 476-2373 |
Karen Burns, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 W 6th St, Medford, OR 97501 Phone: 541-200-2900 Fax: 541-200-2948 | |
Mark Jeffrey Davis, QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1191 Hazel St, Medford, OR 97501 Phone: 541-476-2373 | |
Jane Napoleon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 N Grape St, Medford, OR 97501 Phone: 541-779-8564 Fax: 541-779-9409 | |
Shoshanna Noelle Lane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 W Main St, Medford, OR 97501 Phone: 541-772-1777 | |
Michael David Holt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1175 E Main St, Medford, OR 97504 Phone: 541-772-0127 | |
Mollie Faye Terpening, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 Crater Lake Ave, Medford, OR 97504 Phone: 541-890-5180 Fax: 541-770-5070 | |
Leslie Michelle Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 503 Airport Rd Ste 101, Medford, OR 97504 Phone: 541-200-2900 Fax: 541-200-2948 |