| Rochelle De Forrest, | |
|
999 B St, Ashland, OR 97520-2031 | |
| (541) 500-8655 | |
| Not Available |
| Full Name | Rochelle De Forrest |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 999 B St, Ashland, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578071759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Kitchen Table Counseling |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215528476 PECOS PAC ID: 7214370717 Enrollment ID: O20240212004238 |
| Mailing Address | Practice Location Address |
|---|---|
| Rochelle De Forrest, Po Box 4752, Medford, OR 97501-0197 Ph: (541) 500-8655 | Rochelle De Forrest, 999 B St, Ashland, OR 97520-2031 Ph: (541) 500-8655 |
Susan Weiss Brook, MA, LMFT, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Susan Ln, Ashland, OR 97520 Phone: 541-488-8003 | |
Heather Elizabeth Campbell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1675 Ashland St, Ashland, OR 97520 Phone: 541-858-8170 Fax: 541-858-8167 | |
Emily Holgen, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 960 Bellview Ave, Ashland, OR 97520 Phone: 541-414-4016 | |
Tina Jennings Okenfuss, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1839 Fremont St, Ashland, OR 97520 Phone: 541-414-1720 | |
Anthony B Dejack, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1836 Fremont St, Ashland, OR 97520 Phone: 541-482-5792 | |
Vance Terrall, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1836 Fremont St, Ashland, OR 97520 Phone: 541-482-5792 Fax: 541-482-5034 | |
Ms. Kristen Tussey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 233 4th St, Ashland, OR 97520 Phone: 541-787-9246 |