| Ms Linda Karen Chastain, LPC | |
|
94235 Moore St, Suite 412, Gold Beach, OR 97444 | |
| (541) 247-4082 | |
| (541) 247-5058 |
| Full Name | Ms Linda Karen Chastain |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 94235 Moore St, Gold Beach, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548515745 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | C2028 (Oregon) | Primary |
| Entity Name | Coos County Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811981053 PECOS PAC ID: 1759353071 Enrollment ID: O20040818001343 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Linda Karen Chastain, LPC 94235 Moore St, Suite 412, Gold Beach, OR 97444 Ph: (541) 247-4082 | Ms Linda Karen Chastain, LPC 94235 Moore St, Suite 412, Gold Beach, OR 97444 Ph: (541) 247-4082 |
Kely Mcconnell Regan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 94166 8th St, Gold Beach, OR 97444 Phone: 541-425-5502 | |
Merna Peterson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 29821 Colvin, Gold Beach, OR 97444 Phone: 541-247-4082 | |
Lacy Lea Premo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 29845 Airport Way, Gold Beach, OR 97444 Phone: 541-708-9582 | |
Eric Tengren, Counselor Medicare: Not Enrolled in Medicare Practice Location: 29413 Russell St, Gold Beach, OR 97444 Phone: 541-247-6566 Fax: 541-247-6549 | |
Carol Louise Raper, M.A. LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 29821 Colvin St, Gold Beach, OR 97444 Phone: 541-247-4082 Fax: 541-247-5058 | |
Keqing Sun, Counselor Medicare: Not Enrolled in Medicare Practice Location: 29692 Ellensburg Ave, Gold Beach, OR 97444 Phone: 541-425-7545 Fax: 541-425-5557 | |
Ashley Hawkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 29413 Russell St, Gold Beach, OR 97444 Phone: 541-247-6566 Fax: 541-247-6549 |