| Gemini Counseling Services Llc | |
|
2621 Whittle Ave Medford OR 97504-4719 | |
| (541) 778-2341 | |
| (541) 702-0002 |
| Full Name | Gemini Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2621 Whittle Ave, Medford, Oregon |
| Authorized Official Name and Position | Eva Albert (THERAPIST/SOCIAL WORKER) |
| Authorized Official Contact | 5417782341 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gemini Counseling Services Llc 1750 Delta Waters Rd Ste 102 - Pmb 330 Medford OR 97504 Ph: (541) 778-2341 | Gemini Counseling Services Llc 2621 Whittle Ave Medford OR 97504-4719 Ph: (541) 778-2341 |
| NPI Number | 1427761683 |
|---|---|
| Provider Enumeration Date | 01/03/2023 |
| Last Update Date | 10/19/2023 |
| Certification Date | 10/19/2023 |
| Medicare PECOS PAC ID | 0345613931 |
|---|---|
| Medicare Enrollment ID | O20230301002250 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427761683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| 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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