| Mcdermott Counseling Services Llc | |
|
905 Main St Ste 602 Klamath Falls OR 97601-5842 | |
| (541) 539-0099 | |
| Not Available |
| Full Name | Mcdermott Counseling Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 905 Main St Ste 602, Klamath Falls, Oregon |
| Authorized Official Name and Position | Ardath Mcdermott (OWNER) |
| Authorized Official Contact | 5415390099 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcdermott Counseling Services Llc Po Box 1787 Medford OR 97501-0261 Ph: (541) 500-8655 | Mcdermott Counseling Services Llc 905 Main St Ste 602 Klamath Falls OR 97601-5842 Ph: (541) 539-0099 |
| NPI Number | 1508537812 |
|---|---|
| Provider Enumeration Date | 09/26/2021 |
| Last Update Date | 05/17/2022 |
| Certification Date | 05/17/2022 |
| Medicare PECOS PAC ID | 7214325216 |
|---|---|
| Medicare Enrollment ID | O20211025001505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508537812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Ardath A Mcdermott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306083605 PECOS PAC ID: 8123416120 Enrollment ID: I20211025001558 |
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