| Clinton David Willoughby, CADC II | |
|
109 Nw Manzanita Ave, Grants Pass, OR 97526 | |
| (541) 476-2373 | |
| Not Available |
| Full Name | Clinton David Willoughby |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 109 Nw Manzanita Ave, Grants Pass, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871020693 | NPI | - | NPPES |
| 931200332 | Medicaid | OR |
| Mailing Address | Practice Location Address |
|---|---|
| Clinton David Willoughby, CADC II 1215 Sw G St, Grants Pass, OR 97526-2544 Ph: (541) 476-2373 | Clinton David Willoughby, CADC II 109 Nw Manzanita Ave, Grants Pass, OR 97526 Ph: (541) 476-2373 |
Desarae Margaret Lane, Counselor Medicare: Not Enrolled in Medicare Practice Location: 715 Sw Ramsey Ave, Grants Pass, OR 97527 Phone: 541-956-4943 | |
Ms. Lisa Jean Meredith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1215 Sw G St, Grants Pass, OR 97526 Phone: 541-476-2373 Fax: 541-476-1526 | |
Taylor Way, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1750 Nebraska Ave, Grants Pass, OR 97527 Phone: 541-476-3302 | |
Mollie Faye Terpening, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1545 Harbeck Rd, Grants Pass, OR 97527 Phone: 541-476-2373 | |
Tamra Blanchard, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1349 Golden Park Dr Apt B, Grants Pass, OR 97527 Phone: 541-761-3989 Fax: 541-226-2356 | |
Samantha Tevis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1215 Sw G St, Grants Pass, OR 97526 Phone: 541-476-2373 | |
Seann Gregory, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1750 Nebraska Ave Bldg B, Grants Pass, OR 97527 Phone: 541-956-4943 |