Radel Counseling Services, Llc | |
4736 Royal Ave # 212 Eugene OR 97402-1755 | |
(541) 600-4145 | |
Not Available |
Full Name | Radel Counseling Services, Llc |
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Speciality | Social Worker |
Location | 4736 Royal Ave # 212, Eugene, Oregon |
Authorized Official Name and Position | Paul Curtis Radel (OWNER, THERAPIST) |
Authorized Official Contact | 5416004145 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Radel Counseling Services, Llc 4736 Royal Ave # 212 Eugene OR 97402-1755 Ph: (541) 600-4145 | Radel Counseling Services, Llc 4736 Royal Ave # 212 Eugene OR 97402-1755 Ph: (541) 600-4145 |
NPI Number | 1164096137 |
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Provider Enumeration Date | 05/14/2021 |
Last Update Date | 05/14/2021 |
Certification Date | 05/14/2021 |
Medicare PECOS PAC ID | 3173924578 |
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Medicare Enrollment ID | O20210623000608 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164096137 | NPI | - | NPPES |
1457779548 | Other | PERSONAL NPI |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Paul Curtis Radel |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1457779548 PECOS PAC ID: 5991106395 Enrollment ID: I20210623000731 |
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