Good Grief Counseling | |
14612 Nw Olive St Portland OR 97229 | |
(971) 389-4790 | |
Not Available |
Full Name | Good Grief Counseling |
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Speciality | Social Worker |
Location | 14612 Nw Olive St, Portland, Oregon |
Authorized Official Name and Position | Ashley Wilkins (OWNER/THERAPIST) |
Authorized Official Contact | 9713894790 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Good Grief Counseling 10940 Sw Barnes Rd # 288 Portland OR 97225-5368 Ph: (971) 389-4790 | Good Grief Counseling 14612 Nw Olive St Portland OR 97229 Ph: (971) 389-4790 |
NPI Number | 1407519648 |
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Provider Enumeration Date | 10/14/2021 |
Last Update Date | 03/20/2023 |
Certification Date | 02/17/2023 |
Medicare PECOS PAC ID | 1557753670 |
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Medicare Enrollment ID | O20220124001673 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407519648 | NPI | - | NPPES |
L8564 | Other | OR | OREGON STATE BOARD OF LICENSED SOCIAL WORKERS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Ashley Wilkins |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265994776 PECOS PAC ID: 0941542294 Enrollment ID: I20220124001757 |
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