| Don Sellers Lcsw Llc | |
|
1901 Garden Ave Ste 113 Eugene OR 97403-1934 | |
| (541) 232-0854 | |
| (541) 790-2355 |
| Full Name | Don Sellers Lcsw Llc |
|---|---|
| Speciality | Counselor |
| Location | 1901 Garden Ave Ste 113, Eugene, Oregon |
| Authorized Official Name and Position | Don Sellers (OWNER) |
| Authorized Official Contact | 5412320854 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Don Sellers Lcsw Llc 1390 Oak St Ste 1 Eugene OR 97401-3567 Ph: (541) 232-0854 | Don Sellers Lcsw Llc 1901 Garden Ave Ste 113 Eugene OR 97403-1934 Ph: (541) 232-0854 |
| NPI Number | 1326600453 |
|---|---|
| Provider Enumeration Date | 06/28/2019 |
| Last Update Date | 05/31/2022 |
| Certification Date | 05/31/2022 |
| Medicare PECOS PAC ID | 9234466087 |
|---|---|
| Medicare Enrollment ID | O20190816000735 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326600453 | NPI | - | NPPES |
| 500608075 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Donald H Sellers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992977789 PECOS PAC ID: 8628128675 Enrollment ID: I20090612000075 |
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