Ms Tammie Jean Wilson, LPC | |
2327 Sw 4th Ave, Ontario, OR 97914-1851 | |
(541) 889-2340 | |
Not Available |
Full Name | Ms Tammie Jean Wilson |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2327 Sw 4th Ave, Ontario, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467007872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Valley Family Health Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1295415032 PECOS PAC ID: 0547169591 Enrollment ID: O20040305000532 |
Mailing Address | Practice Location Address |
---|---|
Ms Tammie Jean Wilson, LPC 1441 Ne 10th Ave, Payette, ID 83661-5420 Ph: (208) 642-9376 | Ms Tammie Jean Wilson, LPC 2327 Sw 4th Ave, Ontario, OR 97914-1851 Ph: (541) 889-2340 |
Julie Noethe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 Sunset Dr, Ontario, OR 97914 Phone: 541-823-9006 Fax: 541-889-7873 | |
Mr. Gary M. Daily, MA, EDS Counselor Medicare: Not Enrolled in Medicare Practice Location: 366 Se 5th St, Ontario, OR 97914 Phone: 208-739-2156 | |
Arthur Yokom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 Sunset Dr, Ontario, OR 97914 Phone: 541-889-9167 | |
Angeli D. Butler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 896 Fortner St, Ontario, OR 97914 Phone: 541-881-2828 | |
Peter W. Smith, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 Sunset Dr, Ontario, OR 97914 Phone: 541-889-9167 Fax: 541-889-7873 | |
Cathy Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 Sunset Dr., Ontario, OR 97914 Phone: 541-823-9052 | |
Crystal Copenhaver, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 Sunset Dr, Ontario, OR 97914 Phone: 541-889-9167 |