Bradley T Behm, LPC MA NCC LPC | |
249 W. Ponderosa Dr, Whiteriver, AZ 85941 | |
(928) 338-4811 | |
Not Available |
Full Name | Bradley T Behm |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 249 W. Ponderosa Dr, Whiteriver, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750456810 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC12260 (Arizona) | Primary |
Entity Name | Summit Healthcare Medical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467878108 PECOS PAC ID: 8729205737 Enrollment ID: O20140815000931 |
Mailing Address | Practice Location Address |
---|---|
Bradley T Behm, LPC MA NCC LPC 249 W. Ponderosa Dr, Po Box 1089, Whiteriver, AZ 85941 Ph: (928) 338-4811 | Bradley T Behm, LPC MA NCC LPC 249 W. Ponderosa Dr, Whiteriver, AZ 85941 Ph: (928) 338-4811 |
John Zacher, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 West Ponderosa Drive, Whiteriver, AZ 85941 Phone: 928-338-2621 Fax: 928-338-4100 | |
Ivan Atole Iii, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 W Ponderosa St,, Whiteriver, AZ 85941 Phone: 928-338-4858 | |
Mrs. Aura Josefina Ortiz, M.A., RMHCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 W Ponderosa Street, Whiteriver, AZ 85941 Phone: 928-338-4858 | |
Mr. Kenneth Brown, M.S.W. Counselor Medicare: Accepting Medicare Assignments Practice Location: 200 West Hospital Drive, Whiteriver, AZ 85941 Phone: 928-338-4911 Fax: 928-338-3522 | |
Donna Mauree Stevens, R.N. Counselor Medicare: Not Enrolled in Medicare Practice Location: 302 W. Ponderosa St., Whiteriver, AZ 85941 Phone: 928-338-4858 | |
Susan Kay Minyard, GUIDANCE COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 959 South Chief Avenue, Whiteriver, AZ 85941 Phone: 928-338-1026 |