| 4 Badges Counseling Llc | |
|
219 N Umpqua St Sutherlin OR 97479-9568 | |
| (541) 802-9186 | |
| Not Available |
| Full Name | 4 Badges Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 219 N Umpqua St, Sutherlin, Oregon |
| Authorized Official Name and Position | Roger Kennedy (OWNER) |
| Authorized Official Contact | 5418029186 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 4 Badges Counseling Llc 219 N Umpqua St Sutherlin OR 97479-9568 Ph: () - | 4 Badges Counseling Llc 219 N Umpqua St Sutherlin OR 97479-9568 Ph: (541) 802-9186 |
| NPI Number | 1003617218 |
|---|---|
| Provider Enumeration Date | 03/24/2025 |
| Last Update Date | 07/17/2025 |
| Certification Date | 07/17/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003617218 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Community Health Alliance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 323 E Third Ave, Sutherlin, OR 97479 Phone: 541-440-3532 Fax: 541-440-3554 | |
Applegate Psychology & Assoc, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1739 Garnet Ave, Sutherlin, OR 97479 Phone: 541-459-0907 Fax: 541-459-0907 |