| Jar Counseling, Llc | |
|
196 Glenwood Dr Eagle Point OR 97524-8595 | |
| (541) 261-1763 | |
| Not Available |
| Full Name | Jar Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 196 Glenwood Dr, Eagle Point, Oregon |
| Authorized Official Name and Position | Judy Rudy (SOLE PROPRIETOR) |
| Authorized Official Contact | 5412611763 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jar Counseling, Llc 196 Glenwood Drive Eagle Point OR 97524-8595 Ph: (541) 261-1763 | Jar Counseling, Llc 196 Glenwood Dr Eagle Point OR 97524-8595 Ph: (541) 261-1763 |
| NPI Number | 1346729043 |
|---|---|
| Provider Enumeration Date | 08/13/2018 |
| Last Update Date | 10/01/2018 |
| Medicare PECOS PAC ID | 8123361045 |
|---|---|
| Medicare Enrollment ID | O20190516001938 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346729043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L3625 (Oregon) | Primary |
| Provider Name | Judy Alethe Rudy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720567100 PECOS PAC ID: 9032452958 Enrollment ID: I20190516002007 |
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