| Clearwater Counseling Services Llc | |
|
1171 Plymouth St Saint Helens OR 97051-2434 | |
| (971) 225-0334 | |
| Not Available |
| Full Name | Clearwater Counseling Services Llc |
|---|---|
| Speciality | Counselor |
| Location | 1171 Plymouth St, Saint Helens, Oregon |
| Authorized Official Name and Position | Allisa Rose Stopa (OWNER/THERAPIST) |
| Authorized Official Contact | 5038885107 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearwater Counseling Services Llc Po Box 149 Saint Helens OR 97051-0149 Ph: (503) 888-5107 | Clearwater Counseling Services Llc 1171 Plymouth St Saint Helens OR 97051-2434 Ph: (971) 225-0334 |
| NPI Number | 1134900103 |
|---|---|
| Provider Enumeration Date | 10/06/2023 |
| Last Update Date | 10/06/2023 |
| Certification Date | 10/06/2023 |
| Medicare PECOS PAC ID | 0547605131 |
|---|---|
| Medicare Enrollment ID | O20240305004073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134900103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Allisa Rose Stopa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073031282 PECOS PAC ID: 2365887080 Enrollment ID: I20240304001406 |
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