| Ann Martin Counseling Inc. | |
|
124 Sw 8th St Redmond OR 97756-2114 | |
| (541) 504-8970 | |
| (541) 504-5805 |
| Full Name | Ann Martin Counseling Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 124 Sw 8th St, Redmond, Oregon |
| Authorized Official Name and Position | Ann L. Martin (PRESIDENT) |
| Authorized Official Contact | 5415048970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ann Martin Counseling Inc. 124 Sw 8th St Redmond OR 97756-2114 Ph: (541) 504-8970 | Ann Martin Counseling Inc. 124 Sw 8th St Redmond OR 97756-2114 Ph: (541) 504-8970 |
| NPI Number | 1033453626 |
|---|---|
| Provider Enumeration Date | 11/20/2012 |
| Last Update Date | 07/27/2021 |
| Certification Date | 07/27/2021 |
| Medicare PECOS PAC ID | 8628220381 |
|---|---|
| Medicare Enrollment ID | O20121205000006 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033453626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3365 (Oregon) | Primary |
| Provider Name | Ann L Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083773337 PECOS PAC ID: 3173775830 Enrollment ID: I20121205000017 |
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