Debra Ann Benalli, LPCC, LADAC | |
110 Sheep Springs Rd., Jemez Pueblo, NM 87024 | |
(575) 834-3139 | |
(575) 834-9507 |
Full Name | Debra Ann Benalli |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 110 Sheep Springs Rd., Jemez Pueblo, 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 |
---|---|---|---|
1821233644 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 5705 (New Mexico) | Primary |
101YM0800X | Counselor - Mental Health | 83581 (New Mexico) | Secondary |
Entity Name | Talking Circles Therapy & Wellness |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861858698 PECOS PAC ID: 4587096136 Enrollment ID: O20191120000227 |
Mailing Address | Practice Location Address |
---|---|
Debra Ann Benalli, LPCC, LADAC Po Box 279, Jemez Pueblo, NM 87024 Ph: (575) 834-3139 | Debra Ann Benalli, LPCC, LADAC 110 Sheep Springs Rd., Jemez Pueblo, NM 87024 Ph: (575) 834-3139 |
Ona Trujillo, LSAA Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Sheep Springs Way, Jemez Pueblo, NM 87024 Phone: 575-834-3140 | |
Frank Fidel Fragua, LADAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Sheep Springs, Jemez Pueblo, NM 87024 Phone: 505-834-3139 Fax: 505-834-9507 | |
Ms. Elba Velez True, LPCC LADAC Counselor Medicare: Medicare Enrolled Practice Location: 110 Sheep Springs Way, Jemez Pueblo, NM 87024 Phone: 505-834-7258 Fax: 505-834-9507 | |
Ms. Lisa C Maves, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Sheep Springs, Jemez Pueblo, NM 87024 Phone: 505-834-3059 Fax: 505-834-7093 | |
Carol Ann Vigil, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Sheep Spring Rd., Jemez Pueblo, NM 87024 Phone: 575-834-3143 | |
Peter Paul Pecos, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Sheep Springs Way, Jemez Pueblo, NM 87024 Phone: 505-834-7258 Fax: 505-834-9501 | |
Helen Hallas Fredlund, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Sheep Springs Way, Jemez Pueblo, NM 87024 Phone: 575-834-7258 |