| Six Rivers Counseling | |
|
182 Sw 10th St Ontario OR 97914-2134 | |
| (208) 452-7190 | |
| Not Available |
| Full Name | Six Rivers Counseling |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 182 Sw 10th St, Ontario, Oregon |
| Authorized Official Name and Position | Brad W Levitt (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2084527190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Six Rivers Counseling 182 Sw 10th St Ontario OR 97914-2134 Ph: (208) 452-7190 | Six Rivers Counseling 182 Sw 10th St Ontario OR 97914-2134 Ph: (208) 452-7190 |
| NPI Number | 1144425018 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 06/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144425018 | NPI | - | NPPES |
| 805206300 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY-202138 (Idaho) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY-119 (Oregon) | Primary |
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