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 |
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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: 29413 Russell St, Gold Beach, OR 97444 Phone: 541-247-6566 Fax: 541-247-6549 | |
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 |