MEDICARE: MRS. LORI JO ELDERKIN LPC, CADCI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	11-03-47	OR
2	101YM0800X	Mental Health Counselor	R1946	OR

General Provider Information

NPI Number	:	1841329851
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LORI JO ELDERKIN LPC, CADCI

Provider Business Mailing Address
First Line	:	PO BOX 1706
Second Line	:
City	:	HOOD RIVER
State	:	OR
Zip	:	97031-0706
Country	:	US
Telephone Number	:	541-806-4546
Fax Number	:	541-427-1230

Provider Business Practice Location Address
First Line	:	708 COLUMBIA ST
Second Line	:
City	:	HOOD RIVER
State	:	OR
Zip	:	97031-1720
Country	:	US
Telephone Number	:	541-806-4546
Fax Number	:	888-979-8386

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	03/17/2018

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