| Teresa W Syversen, CADC I | |
|
906 Main Ave, Tillamook, OR 97141-3816 | |
| (503) 842-8201 | |
| (503) 815-1870 |
| Full Name | Teresa W Syversen |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 10 Years |
| Location | 906 Main Ave, Tillamook, Oregon |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871622332 | NPI | - | NPPES |
| 197749 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tillamook Family Counseling Center | 3375443864 | 7 |
| Entity Name | Tillamook Family Counseling Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659380145 PECOS PAC ID: 3375443864 Enrollment ID: O20040112000065 |
| Mailing Address | Practice Location Address |
|---|---|
| Teresa W Syversen, CADC I 9875 Chance Rd, Tillamook, OR 97141 Ph: (503) 842-8201 | Teresa W Syversen, CADC I 906 Main Ave, Tillamook, OR 97141-3816 Ph: (503) 842-8201 |
Kathy J Sias, Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870 | |
Dustin Renee Young, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870 | |
Jodee Ridderbusch, CADC I Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870 | |
Gary D Frunz, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870 | |
Sandra Lee Hurliman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870 | |
Janette L Boal, RN QMHA Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870 | |
Ms. Kimberlee Anne Garner, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 906 Main Ave, Tillamook, OR 97141 Phone: 503-842-8201 Fax: 503-815-1870 |