| Leilani Faber, | |
|
595 Nw 11th St, Hermiston, OR 97838-6600 | |
| (541) 567-2536 | |
| Not Available |
| Full Name | Leilani Faber |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 595 Nw 11th St, Hermiston, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114439171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Entity Name | Community Counseling Solutions |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487992665 PECOS PAC ID: 0446484885 Enrollment ID: O20150825005568 |
| Mailing Address | Practice Location Address |
|---|---|
| Leilani Faber, 702 Sunset Dr, Ontario, OR 97914-3121 Ph: () - | Leilani Faber, 595 Nw 11th St, Hermiston, OR 97838-6600 Ph: (541) 567-2536 |
William Edward Keeler, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 595 Nw 11th St, Hermiston, OR 97838 Phone: 541-567-2536 Fax: 541-567-2632 | |
Haley Nicole Messner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 32405 Diagonal Rd, Hermiston, OR 97838 Phone: 541-567-2949 Fax: 888-977-2106 | |
Brenda Palacios, Counselor Medicare: Not Enrolled in Medicare Practice Location: 595 Nw 11th St, Hermiston, OR 97838 Phone: 541-567-2536 Fax: 541-567-2362 | |
Bobbi Vaughn, CIT Counselor Medicare: Not Enrolled in Medicare Practice Location: 32405 Diagonal Rd, Hermiston, OR 97838 Phone: 541-567-2593 Fax: 888-977-2106 | |
Mr. Jason Arthur Bremner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 595 Nw 11th St, Hermiston, OR 97838 Phone: 541-567-2536 | |
Jennifer D Caswell, CADC REGISTRANT Counselor Medicare: Not Enrolled in Medicare Practice Location: 32405 Diagonal Rd, Hermiston, OR 97838 Phone: 541-567-2593 Fax: 888-977-2106 |