| Autumn Counseling Services Llc | |
|
8800 Se Sunnyside Rd Ste 112n Clackamas OR 97015-5738 | |
| (503) 208-5736 | |
| Not Available |
| Full Name | Autumn Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8800 Se Sunnyside Rd Ste 112n, Clackamas, Oregon |
| Authorized Official Name and Position | Haleigh Yurecko (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 5032183650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn Counseling Services Llc 8800 Se Sunnyside Rd Ste 112n Clackamas OR 97015-5738 Ph: () - | Autumn Counseling Services Llc 8800 Se Sunnyside Rd Ste 112n Clackamas OR 97015-5738 Ph: (503) 208-5736 |
| NPI Number | 1710660048 |
|---|---|
| Provider Enumeration Date | 08/11/2023 |
| Last Update Date | 03/21/2025 |
| Certification Date | 03/21/2025 |
| Medicare PECOS PAC ID | 7810411428 |
|---|---|
| Medicare Enrollment ID | O20250404001158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710660048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Haleigh Renee Yurecko |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659829331 PECOS PAC ID: 4082138698 Enrollment ID: I20250407000681 |
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