| Kolpia Counseling Services Inc | |
|
611 Siskiyou Blvd Suite 8 Ashland OR 97520-2151 | |
| (541) 482-1718 | |
| (541) 482-0964 |
| Full Name | Kolpia Counseling Services Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 611 Siskiyou Blvd, Ashland, Oregon |
| Authorized Official Name and Position | Steven Fogelman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5414821718 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kolpia Counseling Services Inc 611 Siskiyou Blvd Suite 8 Ashland OR 97520-2151 Ph: (541) 482-1718 | Kolpia Counseling Services Inc 611 Siskiyou Blvd Suite 8 Ashland OR 97520-2151 Ph: (541) 482-1718 |
| NPI Number | 1760575500 |
|---|---|
| Provider Enumeration Date | 10/02/2006 |
| Last Update Date | 04/04/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760575500 | NPI | - | NPPES |
| 025136000 | Other | OR | BLUE CROSS BLUE SHIELD |
| J0314 | Other | OR | PACIFIC SOURCE |
| 6260118 | Other | OR | UNITED HEALTHCARE |
| 0001026863 | Other | OR | MHN SERVICES |
| 165327 | Other | OR | OREGON HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Oregon) | Secondary |
| 101YM0800X | Counselor - Mental Health | (Oregon) | Primary |
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