| Mary Rose Nichols, LCSW, CADCIII | |
|
207 Sw 1st St, Enterprise, OR 97828-1203 | |
| (541) 426-4524 | |
| (541) 426-3035 |
| Full Name | Mary Rose Nichols |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 207 Sw 1st St, Enterprise, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477572188 | NPI | - | NPPES |
| 210511 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | L1978 (Oregon) | Primary |
| 1041C0700X | Social Worker - Clinical | L1978 (Oregon) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Rose Nichols, LCSW, CADCIII 207 Sw 1st St, P.o. Box 268, Enterprise, OR 97828-1203 Ph: (541) 426-4524 | Mary Rose Nichols, LCSW, CADCIII 207 Sw 1st St, Enterprise, OR 97828-1203 Ph: (541) 426-4524 |
Allen Schnetzky, Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 Sw First St, Enterprise, OR 97828 Phone: 541-263-1963 | |
Brandon Scott Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 213 Broadmore St, Enterprise, OR 97828 Phone: 541-398-8188 | |
Miss Kathryn Elizabeth Kemp, MSW Counselor Medicare: Medicare Enrolled Practice Location: 207 Sw 1st St, Enterprise, OR 97828 Phone: 541-426-4524 | |
Josie Ambroson, M.S.W Counselor Medicare: Not Enrolled in Medicare Practice Location: 606 Medical Pkwy, Enterprise, OR 97828 Phone: 458-292-2089 | |
Jammie Ann Rodighiero, Counselor Medicare: Not Enrolled in Medicare Practice Location: 606 Medical Pkwy, Enterprise, OR 97828 Phone: 541-426-4524 Fax: 541-426-3035 | |
Paul Spriggs-flanders, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 Sw 1st St, Enterprise, OR 97828 Phone: 541-426-4524 Fax: 541-426-3035 | |
Taylor Barbara Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 407 Se 5th St, Enterprise, OR 97828 Phone: 541-263-5097 |