| Beverly Lake, | |
|
1110 E High St, Tucumcari, NM 88401-2510 | |
| (575) 461-4411 | |
| (575) 461-4102 |
| Full Name | Beverly Lake |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 1110 E High St, Tucumcari, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790099117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Beverly Lake, 10228 State Highway 104, Tucumcari, NM 88401-9315 Ph: (575) 461-3868 | Beverly Lake, 1110 E High St, Tucumcari, NM 88401-2510 Ph: (575) 461-4411 |
Krystal R Tapia, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 E High St, Tucumcari, NM 88401 Phone: 575-461-4411 | |
Ethel Shaw, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 E. High Street, Tucumcari, NM 88401 Phone: 575-461-4411 Fax: 575-461-4102 | |
Ann Largent, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 102 E High St, Tucumcari, NM 88401 Phone: 505-461-6200 Fax: 505-461-0404 | |
Robert Noel Poe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 E High St, Tucumcari, NM 88401 Phone: 575-461-4411 | |
Ashley Ann Nolan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 E High St, Tucumcari, NM 88401 Phone: 575-461-4411 | |
Jacqueline Garcia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 E High St, Tucumcari, NM 88401 Phone: 575-461-4411 Fax: 575-461-4102 | |
Vicky Laredo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 E High St, Tucumcari, NM 88401 Phone: 505-461-4411 |