Rochelle De Forrest, | |
999 B St, Ashland, OR 97520-2031 | |
(541) 816-5462 | |
Not Available |
Full Name | Rochelle De Forrest |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 999 B St, Ashland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578071759 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Kitchen Table Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215528476 PECOS PAC ID: 7214370717 Enrollment ID: O20240212004238 |
Mailing Address | Practice Location Address |
---|---|
Rochelle De Forrest, Po Box 4752, Medford, OR 97501-0197 Ph: (541) 500-8655 | Rochelle De Forrest, 999 B St, Ashland, OR 97520-2031 Ph: (541) 816-5462 |
Susan Weiss Brook, MA, LMFT, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Susan Ln, Ashland, OR 97520 Phone: 541-488-8003 | |
Heather Elizabeth Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1675 Ashland St, Ashland, OR 97520 Phone: 541-858-8170 Fax: 541-858-8167 | |
Emily Holgen, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 960 Bellview Ave, Ashland, OR 97520 Phone: 541-414-4016 | |
Anthony B Dejack, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1836 Fremont St, Ashland, OR 97520 Phone: 541-482-5792 | |
Vance Terrall, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1836 Fremont St, Ashland, OR 97520 Phone: 541-482-5792 Fax: 541-482-5034 | |
Ms. Kristen Tussey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 233 4th St, Ashland, OR 97520 Phone: 541-787-9246 | |
Matthew Locklin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 611 Siskiyou Blvd, Suite 8, Ashland, OR 97520 Phone: 541-482-1718 |