| Nicole Jennings, | |
|
420 Nw 2nd St, Corvallis, OR 97330-6442 | |
| (541) 286-5487 | |
| Not Available |
| Full Name | Nicole Jennings |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 420 Nw 2nd St, Corvallis, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548744253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 03075 (Kansas) | Primary |
| Entity Name | Transformative Health And Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972246502 PECOS PAC ID: 8426592262 Enrollment ID: O20240703001241 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Jennings, 420 Nw 2nd St, Corvallis, OR 97330-6442 Ph: () - | Nicole Jennings, 420 Nw 2nd St, Corvallis, OR 97330-6442 Ph: (541) 286-5487 |
Mrs. Susan Jean Fitz-patrick, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 508 Sw Jefferson Ave, Corvallis, OR 97333 Phone: 541-207-6267 | |
Crissandra Marie Stephen, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1650 Sw 45th Pl, Corvallis, OR 97333 Phone: 541-757-8068 | |
Catherine Polan Orzech, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1624 Nw Crest Pl, Corvallis, OR 97330 Phone: 541-286-5087 | |
Kathrine Trautman, MA LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 761 Nw Harrison Blvd, Corvallis, OR 97330 Phone: 541-757-2027 Fax: 541-745-7591 | |
Mr. David Myers Jackson, LMFT, MS, MAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 685 Nw 5th St, Ste A, Corvallis, OR 97330 Phone: 541-757-1761 | |
Tracy Faith Warnock, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4455 Ne Highway 20, Corvallis, OR 97330 Phone: 541-758-5900 Fax: 503-620-3940 | |
Mrs. Shannon Elizabeth White, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 257 Sw Madison Ave Ste 230, Corvallis, OR 97333 Phone: 801-560-0424 |