| Branches Of Change Counseling Llc | |
|
161 High St Se Ste 202 Salem OR 97301-3610 | |
| (509) 902-5930 | |
| (503) 917-5991 |
| Full Name | Branches Of Change Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 161 High St Se Ste 202, Salem, Oregon |
| Authorized Official Name and Position | Lacey Marie Faughender (LCSW/ OWNER) |
| Authorized Official Contact | 5039025930 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Branches Of Change Counseling Llc 161 High St Se Ste 202 Salem OR 97301-3610 Ph: (509) 902-5930 | Branches Of Change Counseling Llc 161 High St Se Ste 202 Salem OR 97301-3610 Ph: (509) 902-5930 |
| NPI Number | 1770202517 |
|---|---|
| Provider Enumeration Date | 08/24/2022 |
| Last Update Date | 08/24/2022 |
| Certification Date | 08/24/2022 |
| Medicare PECOS PAC ID | 4183091721 |
|---|---|
| Medicare Enrollment ID | O20221110001262 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770202517 | NPI | - | NPPES |
| 500685336 | Medicaid | OR |
| Provider Name | Lacey Faughender |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891102562 PECOS PAC ID: 7214202050 Enrollment ID: I20171004003276 |
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