Tristin L Victor, | |
233 4th St Ste 5, Ashland, OR 97520-2043 | |
(541) 241-8925 | |
(800) 433-1396 |
Full Name | Tristin L Victor |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 233 4th St Ste 5, 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 |
---|---|---|---|
1861976953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Grow Healthcare Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
Mailing Address | Practice Location Address |
---|---|
Tristin L Victor, Po Box 4752, Medford, OR 97501-0197 Ph: (541) 500-8655 | Tristin L Victor, 233 4th St Ste 5, Ashland, OR 97520-2043 Ph: (541) 241-8925 |
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 |