| Westwind Counseling Llc | |
|
2396 Nw Kings Blvd Ste 201 Corvallis OR 97330-3984 | |
| (541) 224-1684 | |
| Not Available |
| Full Name | Westwind Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2396 Nw Kings Blvd Ste 201, Corvallis, Oregon |
| Authorized Official Name and Position | Desiree Colonica (OWNER/OPERATOR) |
| Authorized Official Contact | 5412241684 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Westwind Counseling Llc 2396 Nw Kings Blvd Ste 201 Corvallis OR 97330-3984 Ph: (541) 224-1684 | Westwind Counseling Llc 2396 Nw Kings Blvd Ste 201 Corvallis OR 97330-3984 Ph: (541) 224-1684 |
| NPI Number | 1982199683 |
|---|---|
| Provider Enumeration Date | 06/25/2018 |
| Last Update Date | 06/25/2018 |
| Medicare PECOS PAC ID | 7315299260 |
|---|---|
| Medicare Enrollment ID | O20181004001145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982199683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L7404 (Oregon) | Primary |
| Provider Name | Desiree Ann Colonica |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790069672 PECOS PAC ID: 3274892567 Enrollment ID: I20180111002957 |
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