| Quiet Waters Counseling Llc | |
|
1277 Se Shelton St Dallas OR 97338-2537 | |
| (458) 233-3136 | |
| (800) 433-1396 |
| Full Name | Quiet Waters Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1277 Se Shelton St, Dallas, Oregon |
| Authorized Official Name and Position | Kimberli Ann Wicks (OWNER) |
| Authorized Official Contact | 4582333136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Quiet Waters Counseling Llc Po Box 1787 Medford OR 97501-0261 Ph: (541) 500-8655 | Quiet Waters Counseling Llc 1277 Se Shelton St Dallas OR 97338-2537 Ph: (458) 233-3136 |
| NPI Number | 1609626076 |
|---|---|
| Provider Enumeration Date | 03/26/2024 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609626076 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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Polk County Mental Health Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Suite304, Dallas, OR 97338 Phone: 503-623-9289 Fax: 503-831-1726 | |
Clear Paths Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 171 Sw Court, Dallas, OR 97338 Phone: 503-831-1423 Fax: 503-831-1573 | |
Polk County Health And Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 182 Sw Academy St, Dallas, OR 97338 Phone: 503-623-9289 | |
Polk County Mental Health Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 182 Sw Academy, Suite 304, Dallas, OR 97338 Phone: 503-623-9289 Fax: 503-831-1726 | |
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