| Jamyn Gavello, | |
|
1997 Garden Ave, Eugene, OR 97403-1934 | |
| (541) 682-4036 | |
| (541) 344-1830 |
| Full Name | Jamyn Gavello |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1997 Garden Ave, Eugene, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336794957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | L10923 (Oregon) | Primary |
| Entity Name | Applegate Counseling LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023625191 PECOS PAC ID: 5294117313 Enrollment ID: O20220804003832 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamyn Gavello, 1997 Garden Ave, Eugene, OR 97403-1934 Ph: (541) 344-5978 | Jamyn Gavello, 1997 Garden Ave, Eugene, OR 97403-1934 Ph: (541) 682-4036 |
Ms. Mary Lawrence Tyler, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1788 Cal Young Rd, #185, Eugene, OR 97401 Phone: 808-284-6053 |
Sandra L Sanders, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4010 Aerial Way, Eugene, OR 97402 Phone: 541-242-8311 Fax: 541-242-8335 |
Erin Couture, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1200 Hilyard St, Suite 420, Eugene, OR 97401 Phone: 541-744-0828 |
Kyle Hughes, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1234 High St, Eugene, OR 97401 Phone: 541-342-8437 |
Travis Igler, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4175 E Amazon Dr, Eugene, OR 97405 Phone: 541-600-4151 |
April Bright, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 66 Club Rd Ste 120, Eugene, OR 97401 Phone: 541-393-5983 Fax: 541-393-5984 |
Victoria J Daniels-miller, M.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3003 Willamette St, Trillium, Suite 10, Eugene, OR 97405 Phone: 541-344-6922 Fax: 541-344-6922 |