| Farris Counseling And Consultation | |
|
810 E Jackson St Medford OR 97504-6773 | |
| (541) 690-8452 | |
| Not Available |
| Full Name | Farris Counseling And Consultation |
|---|---|
| Speciality | Counselor |
| Location | 810 E Jackson St, Medford, Oregon |
| Authorized Official Name and Position | Jason Manon Farris (PRESIDENT) |
| Authorized Official Contact | 5416908452 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Farris Counseling And Consultation 810 E Jackson St Medford OR 97504-6773 Ph: (541) 690-8452 | Farris Counseling And Consultation 810 E Jackson St Medford OR 97504-6773 Ph: (541) 690-8452 |
| NPI Number | 1780286419 |
|---|---|
| Provider Enumeration Date | 11/09/2020 |
| Last Update Date | 11/09/2020 |
| Certification Date | 11/09/2020 |
| Medicare PECOS PAC ID | 3870902919 |
|---|---|
| Medicare Enrollment ID | O20210503000680 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780286419 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Pamela Lee Mccorkle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205215522 PECOS PAC ID: 5991065567 Enrollment ID: I20180131001539 |
| Provider Name | Eva Albert |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649653411 PECOS PAC ID: 6002297363 Enrollment ID: I20220718001931 |
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