| Mrs Jacqueline Sharib, LCSW | |
|
1333 Nw 9th St, Prineville, OR 97754-1482 | |
| (541) 447-2631 | |
| Not Available |
| Full Name | Mrs Jacqueline Sharib |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1333 Nw 9th St, Prineville, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356751283 | NPI | - | NPPES |
| 283234 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Rimrock Trails Treatment Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194873406 PECOS PAC ID: 5799107629 Enrollment ID: O20200623002699 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jacqueline Sharib, LCSW 1333 Nw 9th St, Prineville, OR 97754-1482 Ph: (541) 447-2631 | Mrs Jacqueline Sharib, LCSW 1333 Nw 9th St, Prineville, OR 97754-1482 Ph: (541) 447-2631 |
Shelia Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1103 Ne Elm St, Prineville, OR 97754 Phone: 541-323-5330 Fax: 541-447-1121 | |
Mindy Lynn Christiansen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1059 Nw Madras Hwy, Prineville, OR 97754 Phone: 541-323-5330 Fax: 541-447-1211 | |
Sierra Hopper, MSN Counselor Medicare: Medicare Enrolled Practice Location: 757 E 1st St, Prineville, OR 97754 Phone: 541-383-3005 Fax: 541-383-1883 | |
Mr. J. Robert Molesworth, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 203 Ne Court St, Prineville, OR 97754 Phone: 541-447-7441 Fax: 541-447-6694 | |
Shana L Schmitz, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1059 Nw Madras Hwy, Prineville, OR 97754 Phone: 541-323-5330 | |
Heather Kennedy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Nw 9th St, Prineville, OR 97754 Phone: 541-388-8459 | |
Mr. James Richard Clark, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 534 Ne Brookstone Dr, Prineville, OR 97754 Phone: 541-678-3342 |