| Leslie Rund, | |
|
1 Serenity Ln, Coburg, OR 97408-9350 | |
| (412) 845-7115 | |
| Not Available |
| Full Name | Leslie Rund |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 4 Years |
| Location | 1 Serenity Ln, Coburg, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700241056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Vickie M Larson-hills Msw Lcsw Llc | 2961880562 | 2 |
| Entity Name | Vickie M Larson-hills MSW LCSW LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730784067 PECOS PAC ID: 2961880562 Enrollment ID: O20220610001170 |
| Mailing Address | Practice Location Address |
|---|---|
| Leslie Rund, 1 Serenity Ln, Coburg, OR 97408-9350 Ph: Not Available | Leslie Rund, 1 Serenity Ln, Coburg, OR 97408-9350 Ph: (412) 845-7115 |
Geramie Mark Mccormick, CRM II, CADC-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 91150 N Coburg Industrial Way, Coburg, OR 97408 Phone: 541-284-5645 |
Tanja Desalles Looker, CADC 1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 91150 N Coburg Industrial Way, Coburg, OR 97408 Phone: 541-284-5709 |
Emmitt Adair, QMHP, CADC III, SAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Serenity Ln, Coburg, OR 97408 Phone: 541-284-8605 Fax: 541-687-9041 |
Mason Anthony Marin, CADC-R, CRM 1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Serenity Ln, Coburg, OR 97408 Phone: 541-606-3308 |
Jeffrey Hugh Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 91150 N Coburg Industrial Way, Coburg, OR 97408 Phone: 541-687-1110 |
Jenae Hulsey Katelyn Hulsey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Serenity Ln, Coburg, OR 97408 Phone: 541-687-1110 |
Sarah Elizabeth Buck, QMHA-R Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Serenity Ln, Coburg, OR 97408 Phone: 541-687-1110 |