Mr John Walter Lee Iv, | |
1 Serenity Ln, Coburg, OR 97408-9350 | |
(541) 204-2276 | |
Not Available |
Full Name | Mr John Walter Lee Iv |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1 Serenity Ln, Coburg, Oregon |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629780770 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | T-22-2191 (Oregon) | Secondary |
101YM0800X | Counselor - Mental Health | R8780 (Oregon) | Primary |
Mailing Address | Practice 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 |
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 |