Canna O'carroll, LPC | |
650 E. Walnut, Elizabeth, CO 80107 | |
(720) 284-4538 | |
Not Available |
Full Name | Canna O'carroll |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 650 E. Walnut, Elizabeth, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770101297 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LPC.0016270 (Colorado) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
Mailing Address | Practice Location Address |
---|---|
Canna O'carroll, LPC 5440 Fawn Ridge Way, Castle Rock, CO 80104-3357 Ph: (720) 284-4538 | Canna O'carroll, LPC 650 E. Walnut, Elizabeth, CO 80107 Ph: (720) 284-4538 |
Ken Billings, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 East Walnut, Elizabeth, CO 80107 Phone: 970-522-4549 Fax: 970-522-4211 | |
Allison Pusbach, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 E. Walnut, Elizabeth, CO 80107 Phone: 303-646-4519 Fax: 970-522-4211 | |
Tamara Mcnay, Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 E. Walnut, Unit C, Elizabeth, CO 80107 Phone: 303-646-4519 Fax: 303-646-4451 | |
Shannon Theobald, Counselor Medicare: Not Enrolled in Medicare Practice Location: 795 E Kiowa Ave Unit 1471, Elizabeth, CO 80107 Phone: 720-428-9809 | |
John Duhamel, CAC II, LPC Counselor Medicare: Medicare Enrolled Practice Location: 650 E. Walnut St, Elizabeth, CO 80107 Phone: 303-646-4519 Fax: 970-522-4211 | |
Mr. Montie S. Spino, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 East Walnut Street, Unit C, Elizabeth, CO 80107 Phone: 717-688-5021 | |
Brittany Razee-erosky, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 32285 Legacy Ridge St, Elizabeth, CO 80107 Phone: 303-345-7589 |