| Applegate Counseling Llc | |
|
1997 Garden Ave Eugene OR 97403-1934 | |
| (541) 344-5978 | |
| (541) 344-1830 |
| Full Name | Applegate Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 1997 Garden Ave, Eugene, Oregon |
| Authorized Official Name and Position | Daniel B Duncan (MANAGING MEMBER) |
| Authorized Official Contact | 5413445978 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Applegate Counseling Llc 1997 Garden Ave Eugene OR 97403-1934 Ph: (541) 344-5978 | Applegate Counseling Llc 1997 Garden Ave Eugene OR 97403-1934 Ph: (541) 344-5978 |
| NPI Number | 1023625191 |
|---|---|
| Provider Enumeration Date | 09/23/2020 |
| Last Update Date | 08/16/2022 |
| Certification Date | 08/16/2022 |
| Medicare PECOS PAC ID | 5294117313 |
|---|---|
| Medicare Enrollment ID | O20220804003832 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023625191 | NPI | - | NPPES |
| 500786145 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Marial Claire Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952906331 PECOS PAC ID: 1153734694 Enrollment ID: I20201230002152 |
| Provider Name | Breeana Jarvis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255722997 PECOS PAC ID: 7416326954 Enrollment ID: I20221206001155 |
| Provider Name | Eugene A Obersinner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801194683 PECOS PAC ID: 0143692129 Enrollment ID: I20230221002263 |
| Provider Name | Lara A Bissonnette |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1841820941 PECOS PAC ID: 0143670117 Enrollment ID: I20240103002286 |
| Provider Name | Daniel B Duncan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659447860 PECOS PAC ID: 3870976053 Enrollment ID: I20240108004139 |
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