George Stewart Dettlinger
Individual provider Active NPI Mental Health Counselor · Junction City, OR
NPI 1033933429 · NPPES record last updated Nov 12, 2024
Key facts
- NPI
- 1033933429
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 29398 Recovery Way Ste 1
Junction City, OR 97448-8447 - Phone
- (541) 995-2210
- Fax
- (541) 995-2274
- NPI assigned
- Nov 12, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
29398 Recovery Way Ste 1
Junction City, OR 97448-8447
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Phone (541) 858-8170
Other names
- Stewart Dettlinger
Other providers in Junction City, OR
- Alyssa Dahl
- Susan Danelle Davis
- Maci Marie Deblanc
- Devon Denny
- Guy R. Dent
- DHS/Office of Financial Services Irs/Eopc/BMRC/Eotc/Osh/Osh-P
- Searra Adele Dickason
- Jon Louis Dorbolo
- Michelle Elisabeth Downing
- Michelle Marie Driver
All providers in Junction City, OR · Mental Health Counselor in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.