| L Anderson Freck, Lcsw, Llc | |
|
374 W 12th Ave Eugene OR 97401-3449 | |
| (541) 215-4516 | |
| Not Available |
| Full Name | L Anderson Freck, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 374 W 12th Ave, Eugene, Oregon |
| Authorized Official Name and Position | Leslie Anderson Freck (MEMBER) |
| Authorized Official Contact | 5412154516 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| L Anderson Freck, Lcsw, Llc 374 W 12th Ave Eugene OR 97401-3449 Ph: (541) 215-4516 | L Anderson Freck, Lcsw, Llc 374 W 12th Ave Eugene OR 97401-3449 Ph: (541) 215-4516 |
| NPI Number | 1639728017 |
|---|---|
| Provider Enumeration Date | 09/08/2019 |
| Last Update Date | 09/08/2019 |
| Medicare PECOS PAC ID | 0345677233 |
|---|---|
| Medicare Enrollment ID | O20200306000015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639728017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Leslie Anderson Freck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326384801 PECOS PAC ID: 7719297571 Enrollment ID: I20151105002658 |
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