Bonnie Jean Evans, LPCC | |
111 Big Sky Ave Sw, Los Lunas, NM 87031-6155 | |
(505) 865-9026 | |
Not Available |
Full Name | Bonnie Jean Evans |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 111 Big Sky Ave Sw, Los Lunas, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366863706 | NPI | - | NPPES |
0097631 | Other | NM | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 0097631 (New Mexico) | Secondary |
101YM0800X | Counselor - Mental Health | CCMH0104231 (New Mexico) | Primary |
Entity Name | Mcleod Medical Centers Of Nm Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700393782 PECOS PAC ID: 5092075531 Enrollment ID: O20180201001863 |
Mailing Address | Practice Location Address |
---|---|
Bonnie Jean Evans, LPCC 01 Sagebrush St, Isleta, NM 87022-0000 Ph: (505) 869-5479 | Bonnie Jean Evans, LPCC 111 Big Sky Ave Sw, Los Lunas, NM 87031-6155 Ph: (505) 865-9026 |
David Young, CSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Morris Rd Se, Los Lunas, NM 87031 Phone: 505-866-2318 | |
Ryan Mcnamara, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1050 Highway 314 Ne, Los Lunas, NM 87031 Phone: 505-944-6626 | |
Jennifer Ferry, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 735 Don Pasqual Rd Nw, Los Lunas, NM 87031 Phone: 505-865-3350 Fax: 505-865-4739 | |
Jo Ann Brito-riel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 445 Camino Del Rey Ste B, Los Lunas, NM 87031 Phone: 505-222-0814 Fax: 505-222-0873 | |
Sergio Cianci, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Morris Rd Se, Los Lunas, NM 87031 Phone: 505-866-2318 | |
Craig Schimke, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 735 Don Pasqual Rd Nw, Los Lunas, NM 87031 Phone: 505-865-3350 Fax: 505-865-4739 | |
Gloria Galvan-caes, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Morris Rd Se, Los Lunas, NM 87031 Phone: 505-866-2318 |