| 50 Joys Counseling, Llc | |
|
851 Ne Granger Ave Corvallis OR 97330-9672 | |
| (541) 231-3439 | |
| (000) 000-0000 |
| Full Name | 50 Joys Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 851 Ne Granger Ave, Corvallis, Oregon |
| Authorized Official Name and Position | Marijke L Brutsaert (OWNER) |
| Authorized Official Contact | 5412313439 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 50 Joys Counseling, Llc 851 Ne Granger Ave Corvallis OR 97330-9672 Ph: (541) 231-3439 | 50 Joys Counseling, Llc 851 Ne Granger Ave Corvallis OR 97330-9672 Ph: (541) 231-3439 |
| NPI Number | 1437873296 |
|---|---|
| Provider Enumeration Date | 09/26/2022 |
| Last Update Date | 10/17/2022 |
| Certification Date | 10/17/2022 |
| Medicare PECOS PAC ID | 7113397183 |
|---|---|
| Medicare Enrollment ID | O20230109001052 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437873296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Marijke L Brutsaert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801227384 PECOS PAC ID: 5991035040 Enrollment ID: I20191002003362 |
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