Mr John Walter Lee Iv, - Counselor in Coburg, OR

Mr John Walter Lee Iv, is a Counselor - Mental Health based in Coburg, Oregon. Mr John Walter Lee Iv is licensed to practice in Oregon (license number R8780) and his current practice location is 1 Serenity Ln, Coburg, Oregon. He can be reached at his office (for appointments etc.) via phone at (541) 204-2276.

NPI number for Mr John Walter Lee Iv is 1629780770 and his current mailing address is Po Box 8549, Coburg, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629780770.

Contact Information

Mr John Walter Lee Iv,
1 Serenity Ln,
Coburg, OR 97408-9350
(541) 204-2276
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMr John Walter Lee Iv
GenderMale
SpecialityCounselor - Mental Health
Location1 Serenity Ln, Coburg, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1629780770
  • Provider Enumeration Date: 12/20/2022
  • Last Update Date: 05/01/2024

Medical Identifiers

Medical identifiers for Mr John Walter Lee Iv such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629780770NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) T-22-2191 (Oregon)Secondary
101YM0800XCounselor - Mental Health R8780 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr John Walter Lee Iv is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr John Walter Lee Iv,
Po Box 8549,
Coburg, OR 97408-1313

Ph: (541) 204-2276
Mr John Walter Lee Iv,
1 Serenity Ln,
Coburg, OR 97408-9350

Ph: (541) 204-2276

Reviews and Comments


Counselor in Coburg, OR

Kara Lonberg, CADC 2
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 91150 N Coburg Industrial Way, Coburg, OR 97408
Phone: 541-284-5652    Fax: 541-465-3148
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    
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    
Jaclyn Bogner, MS
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1 Serenity Ln, Coburg, OR 97408
Phone: 541-687-1110    

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