| Jordan Trejo, LPC | |
|
511 Perry St, Defiance, OH 43512-2123 | |
| (419) 782-9920 | |
| Not Available |
| Full Name | Jordan Trejo |
|---|---|
| Gender | Male |
| Speciality | Mental Health Counselor |
| Experience | 3 Years |
| Location | 511 Perry St, Defiance, Ohio |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124740329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | C.2204564 (Ohio) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Recovery Services Of Northwest Ohio Inc | 7113221508 | 6 |
| Entity Name | Recovery Services Of Northwest Ohio Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720046451 PECOS PAC ID: 7113221508 Enrollment ID: O20160204001858 |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Trejo, LPC 511 Perry St, Defiance, OH 43512-2123 Ph: (419) 782-9920 | Jordan Trejo, LPC 511 Perry St, Defiance, OH 43512-2123 Ph: (419) 782-9920 |
Kymberly Whitenburg, Counselor Medicare: Accepting Medicare Assignments Practice Location: 211 Biede Ave, Defiance, OH 43512 Phone: 419-785-3800 | |
Amy L Slattery, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Biede Ave, Defiance, OH 43512 Phone: 419-782-8856 Fax: 419-784-4506 | |
Alycia Bany, Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Biede Ave, Defiance, OH 43512 Phone: 419-782-8856 | |
Linda K Schlachter Mcdonald, SWA, LICDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 Perry St, Defiance, OH 43512 Phone: 419-782-9920 Fax: 419-784-2523 | |
Mattea Gilbert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Biede Ave, Defiance, OH 43512 Phone: 419-782-8856 | |
Alexis Sinn, Counselor Medicare: Accepting Medicare Assignments Practice Location: 511 Perry St, Defiance, OH 43512 Phone: 419-782-9920 | |
Elizabeth A Herbert, LPN Counselor Medicare: Not Enrolled in Medicare Practice Location: 511 Perry St, Defiance, OH 43512 Phone: 419-782-9920 Fax: 419-784-2523 |