| Jessica White, LPC | |
|
636 Sw 2nd St, Corvallis, OR 97333-4442 | |
| (541) 351-8065 | |
| Not Available |
| Full Name | Jessica White |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 636 Sw 2nd St, Corvallis, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285055467 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | C8471 (Oregon) | Primary |
| Entity Name | Transformative Health And Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972246502 PECOS PAC ID: 8426592262 Enrollment ID: O20240703001241 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica White, LPC 636 Sw 2nd St, Corvallis, OR 97333-4442 Ph: (541) 351-8065 | Jessica White, LPC 636 Sw 2nd St, Corvallis, OR 97333-4442 Ph: (541) 351-8065 |
Ms. Hannelore Na Ondrusek, M.S., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 744 Nw 4th St, Corvallis, OR 97330 Phone: 541-929-9219 Fax: 541-929-9219 | |
Kiri N. Horsey, MS, LPC Counselor Medicare: Medicare Enrolled Practice Location: 4455 Ne Highway 20, Corvallis, OR 97330 Phone: 541-758-5946 Fax: 541-750-1120 | |
Ms. Casey Joanna Roach, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4455 Ne Highway 20, Corvallis, OR 97330 Phone: 541-758-5900 | |
Suzanne Merritt Bilderback, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4455 Ne Highway 20, Corvallis, OR 97330 Phone: 503-234-9591 | |
Patrick Owen Mcguffin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4455 Ne Highway 20, Corvallis, OR 97330 Phone: 541-758-5900 | |
Laura Capehart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4455 Ne Highway 20, Corvallis, OR 97330 Phone: 541-758-5900 | |
Taylor Reynolds, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4455 Ne Highway 20, Corvallis, OR 97330 Phone: 541-757-1852 |