| Senua Counseling Clinic | |
|
4800 Meadows Rd Ste 300 Lake Oswego OR 97035-5277 | |
| (503) 705-3009 | |
| Not Available |
| Full Name | Senua Counseling Clinic |
|---|---|
| Speciality | Counselor |
| Location | 4800 Meadows Rd Ste 300, Lake Oswego, Oregon |
| Authorized Official Name and Position | Kellie Collins (OWNER/LEAD THERAPIST) |
| Authorized Official Contact | 5037053009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senua Counseling Clinic 5300 Parkview Dr Apt 1017 Lake Oswego OR 97035-8723 Ph: (503) 705-3009 | Senua Counseling Clinic 4800 Meadows Rd Ste 300 Lake Oswego OR 97035-5277 Ph: (503) 705-3009 |
| NPI Number | 1902324122 |
|---|---|
| Provider Enumeration Date | 09/07/2017 |
| Last Update Date | 09/07/2017 |
| Medicare PECOS PAC ID | 8224403654 |
|---|---|
| Medicare Enrollment ID | O20230417001196 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902324122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
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