Chastidy Mariah Chacon, NCC, LPC | |
5401 W 10th St Ste 200, Greeley, CO 80634-4468 | |
(970) 310-3406 | |
Not Available |
Full Name | Chastidy Mariah Chacon |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 5401 W 10th St Ste 200, Greeley, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508581612 | NPI | - | NPPES |
1461830 | Other | NBCC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC.0018539 (Colorado) | Secondary |
101YM0800X | Counselor - Mental Health | LPC.0018539 (Colorado) | Primary |
Entity Name | Valley-wide Health Systems, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790998953 PECOS PAC ID: 5991609067 Enrollment ID: O20031120000673 |
Mailing Address | Practice Location Address |
---|---|
Chastidy Mariah Chacon, NCC, LPC Po Box 514, La Jara, CO 81140-0514 Ph: (469) 810-2021 | Chastidy Mariah Chacon, NCC, LPC 5401 W 10th St Ste 200, Greeley, CO 80634-4468 Ph: (970) 310-3406 |
Kimberly Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1306 11th Ave, Greeley, CO 80631 Phone: 970-347-2343 Fax: 970-353-3906 | |
Scott D Clawson, CAC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 N 17th Ave, Greeley, CO 80631 Phone: 970-347-2120 Fax: 970-346-9800 | |
Anna Cruz, CAC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 1140 M St, Greeley, CO 80631 Phone: 970-353-3900 | |
Dr. Arnie Guin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3459 W 20th St Ste 223-d, Greeley, CO 80634 Phone: 970-576-5485 | |
Karen L Eichel, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 1140 M St, Greeley, CO 80631 Phone: 970-353-3900 | |
Jakob Bednarchuk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1300 N 17th Ave, Greeley, CO 80631 Phone: 970-347-2120 | |
Malinda Alaniz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1407 8th Ave, Greeley, CO 80631 Phone: 970-347-2120 |