| Fjord Counseling Llc | |
|
1445 Willamette St Ste 3 Eugene OR 97401-4087 | |
| (541) 234-3090 | |
| (541) 735-9480 |
| Full Name | Fjord Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1445 Willamette St Ste 3, Eugene, Oregon |
| Authorized Official Name and Position | Todd B Jeter (OWNER/LEAD THERAPIST) |
| Authorized Official Contact | 5419543485 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fjord Counseling Llc Po Box 40142 Eugene OR 97404-0020 Ph: (541) 234-3090 | Fjord Counseling Llc 1445 Willamette St Ste 3 Eugene OR 97401-4087 Ph: (541) 234-3090 |
| NPI Number | 1972216877 |
|---|---|
| Provider Enumeration Date | 01/05/2023 |
| Last Update Date | 05/30/2024 |
| Certification Date | 05/30/2024 |
| Medicare PECOS PAC ID | 1658711015 |
|---|---|
| Medicare Enrollment ID | O20240502000064 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972216877 | NPI | - | NPPES |
| 500725923 | Medicaid | OR | |
| 500731705 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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