Kathryn Smith Counseling, Llc | |
223 Pinner Ln Apt 12 Medford OR 97501-7526 | |
(541) 919-5156 | |
(541) 225-4878 |
Full Name | Kathryn Smith Counseling, Llc |
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Speciality | Counselor |
Location | 223 Pinner Ln Apt 12, Medford, Oregon |
Authorized Official Name and Position | Kathryn Ann Smith (OWNER) |
Authorized Official Contact | 2676701806 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kathryn Smith Counseling, Llc 223 Pinner Ln Apt 12 Medford OR 97501-7526 Ph: (541) 919-5156 | Kathryn Smith Counseling, Llc 223 Pinner Ln Apt 12 Medford OR 97501-7526 Ph: (541) 919-5156 |
NPI Number | 1225790850 |
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Provider Enumeration Date | 10/11/2021 |
Last Update Date | 10/11/2021 |
Certification Date | 10/11/2021 |
Medicare PECOS PAC ID | 4082051347 |
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Medicare Enrollment ID | O20240321002718 |
Identifier | Type | State | Issuer |
---|---|---|---|
1225790850 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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