| Jeremy A. Springer, Lcsw | |
|
500 Washington St The Dalles OR 97058-2217 | |
| (541) 861-9128 | |
| (509) 773-3247 |
| Full Name | Jeremy A. Springer, Lcsw |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 500 Washington St, The Dalles, Oregon |
| Authorized Official Name and Position | Jeremy Alan Springer (OWNER) |
| Authorized Official Contact | 5418619128 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy A. Springer, Lcsw 36 Forest Hill Ln Goldendale WA 98620-2518 Ph: (541) 861-9128 | Jeremy A. Springer, Lcsw 500 Washington St The Dalles OR 97058-2217 Ph: (541) 861-9128 |
| NPI Number | 1144833633 |
|---|---|
| Provider Enumeration Date | 08/25/2020 |
| Last Update Date | 08/25/2020 |
| Certification Date | 08/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144833633 | NPI | - | NPPES |
| 500651547 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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