| Alliance Counseling Center, Inc | |
|
22018 S Central Point Rd Suite #3 Canby OR 97013-8705 | |
| (503) 412-8149 | |
| (503) 263-6278 |
| Full Name | Alliance Counseling Center, Inc |
|---|---|
| Speciality | Counselor |
| Location | 22018 S Central Point Rd, Canby, Oregon |
| Authorized Official Name and Position | Joyce Korschgen (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5032214531 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alliance Counseling Center, Inc 22018 S Central Point Rd Suite #3 Canby OR 97013-8705 Ph: (503) 412-8149 | Alliance Counseling Center, Inc 22018 S Central Point Rd Suite #3 Canby OR 97013-8705 Ph: (503) 412-8149 |
| NPI Number | 1255495719 |
|---|---|
| Provider Enumeration Date | 12/20/2006 |
| Last Update Date | 07/01/2016 |
| Medicare PECOS PAC ID | 1456883693 |
|---|---|
| Medicare Enrollment ID | O20241014002149 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255495719 | NPI | - | NPPES |
| 500606514 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | C0741 (Oregon) | Primary |
| Provider Name | Crisse Milner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952603318 PECOS PAC ID: 9739611625 Enrollment ID: I20241016003791 |
| Provider Name | Cara Crissman Sams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538321443 PECOS PAC ID: 7214460815 Enrollment ID: I20241104000910 |
| Provider Name | Abigail Joffe-aalto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164017760 PECOS PAC ID: 1658804273 Enrollment ID: I20241104002073 |
| Provider Name | Shelby Mckenzie Spade |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003586819 PECOS PAC ID: 2163956756 Enrollment ID: I20241105000852 |
| Provider Name | Katie Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982335832 PECOS PAC ID: 4183158355 Enrollment ID: I20241111001281 |
| Provider Name | Brittany Kleinschnitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700516184 PECOS PAC ID: 8729512959 Enrollment ID: I20241112000254 |
| Provider Name | Theodore Daniel Schmidt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801222450 PECOS PAC ID: 7517492200 Enrollment ID: I20241118002975 |
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