| Elaine Kathryn Dinwiddie, LPC | |
|
11800 Tingley Ln Unit 6, Klamath Falls, OR 97603-9574 | |
| (541) 363-8817 | |
| (541) 205-5397 |
| Full Name | Elaine Kathryn Dinwiddie |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 11800 Tingley Ln Unit 6, Klamath Falls, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154794113 | NPI | - | NPPES |
| 500700365 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | C5403 (Oregon) | Primary |
| Entity Name | Klamath Child And Family Treatment Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902830524 PECOS PAC ID: 2062642507 Enrollment ID: O20140303001515 |
| Mailing Address | Practice Location Address |
|---|---|
| Elaine Kathryn Dinwiddie, LPC 11800 Tingley Ln Unit 6, Klamath Falls, OR 97603-9574 Ph: (541) 363-8817 | Elaine Kathryn Dinwiddie, LPC 11800 Tingley Ln Unit 6, Klamath Falls, OR 97603-9574 Ph: (541) 363-8817 |
Mrs. Brittania Nicole Welch, Counselor Medicare: Medicare Enrolled Practice Location: 2210 N Eldorado Ave, Klamath Falls, OR 97601 Phone: 541-883-1030 Fax: 541-884-2338 | |
Misty Watts, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2210 N Eldorado Ave, Klamath Falls, OR 97601 Phone: 541-883-1030 Fax: 541-884-2338 | |
Teresa L Stroup, BA,QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2545 N Eldorado Ave, Klamath Falls, OR 97601 Phone: 541-883-3471 Fax: 541-883-3524 | |
Gaylyn Gaddy Maurer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1061 Wild Plum Dr, Klamath Falls, OR 97601 Phone: 713-203-3744 | |
Kyra Giffen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2210 N Eldorado Ave, Klamath Falls, OR 97601 Phone: 541-883-1030 Fax: 541-884-2338 | |
Krystal Lynn Henderson, CCMA, CPHT, QMHA-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 2555 Main St, Klamath Falls, OR 97601 Phone: 541-883-2795 Fax: 541-883-8194 | |
Kimberly Michelle Mccreary, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2210 N Eldorado Ave, Klamath Falls, OR 97601 Phone: 541-883-1030 |