Big Picture Counseling | |
5175 Sw Hillview Ave Apt B Corvallis OR 97333-3977 | |
(541) 908-5983 | |
(833) 487-1047 |
Full Name | Big Picture Counseling |
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Speciality | Social Worker |
Location | 5175 Sw Hillview Ave Apt B, Corvallis, Oregon |
Authorized Official Name and Position | Janine R Kosek (OWNER) |
Authorized Official Contact | 5204902963 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Big Picture Counseling 5175 Sw Hillview Ave Apt B Corvallis OR 97333-3977 Ph: (520) 490-2963 | Big Picture Counseling 5175 Sw Hillview Ave Apt B Corvallis OR 97333-3977 Ph: (541) 908-5983 |
NPI Number | 1467121509 |
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Provider Enumeration Date | 09/11/2021 |
Last Update Date | 01/05/2022 |
Certification Date | 01/05/2022 |
Medicare PECOS PAC ID | 4789075441 |
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Medicare Enrollment ID | O20220107000100 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467121509 | NPI | - | NPPES |
1417209636 | Other | SINGLE NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Janine Records Kosek |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1417209636 PECOS PAC ID: 0143630491 Enrollment ID: I20201028000777 |
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