| Journey To Discovery Counseling Llc | |
|
1234 Pearl St Ste 4b Eugene OR 97401-3642 | |
| (541) 393-2280 | |
| (541) 575-8821 |
| Full Name | Journey To Discovery Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1234 Pearl St Ste 4b, Eugene, Oregon |
| Authorized Official Name and Position | Lori Ann Wilson (SOLE MEMBER) |
| Authorized Official Contact | 5416067390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Journey To Discovery Counseling Llc 88099 Lindsay Ln Veneta OR 97487-9698 Ph: (541) 393-2280 | Journey To Discovery Counseling Llc 1234 Pearl St Ste 4b Eugene OR 97401-3642 Ph: (541) 393-2280 |
| NPI Number | 1851859755 |
|---|---|
| Provider Enumeration Date | 03/09/2019 |
| Last Update Date | 03/09/2019 |
| Medicare PECOS PAC ID | 8123453800 |
|---|---|
| Medicare Enrollment ID | O20200128000458 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851859755 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lori A Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114329422 PECOS PAC ID: 5395079586 Enrollment ID: I20190621000788 |
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