Ms Charise Mae Monge, MED, LAC, LMHCA is a
Counselor - Mental Health based in Patagonia, Arizona. Ms Charise Mae Monge is licensed to practice in Washington (license number LH61463314) and her current practice location is
277 W. Mckeown Ave, S1, Patagonia, Arizona. She can be reached at her office (for appointments etc.) via phone at
(520) 224-4793.
NPI number for Ms Charise Mae Monge is 1235525254 and her current mailing address is 3308 E 11th Ave Apt C211, Spokane, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235525254.
Healthcare Provider's Profile
| Full Name | Ms Charise Mae Monge |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 277 W. Mckeown Ave, Patagonia, Arizona |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1235525254
- Provider Enumeration Date: 04/07/2015
- Last Update Date: 07/24/2024
Medical Identifiers
Medical identifiers for Ms Charise Mae Monge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235525254 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | MC60501445 (Washington) | Secondary |
| 101Y00000X | Counselor | LAC20308 (Arizona) | Secondary |
| 101YM0800X | Counselor - Mental Health | LAC20308 (Arizona) | Secondary |
| 101YM0800X | Counselor - Mental Health | MC-60501445 (Washington) | Secondary |
| 101YM0800X | Counselor - Mental Health | LAC-20308 (Arizona) | Secondary |
| 101YM0800X | Counselor - Mental Health | LH61463314 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Charise Mae Monge is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Charise Mae Monge, MED, LAC, LMHCA
3308 E 11th Ave Apt C211,
Spokane, WA 99202-5445
Ph: (520) 224-4793 | Ms Charise Mae Monge, MED, LAC, LMHCA
277 W. Mckeown Ave, S1,
Patagonia, AZ 85624
Ph: (520) 224-4793 |
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