Debra Jo Landoll, MA, LAC | |
2664 Sacoma Ct, Grand Jct, CO 81506-1834 | |
(970) 261-5254 | |
Not Available |
Full Name | Debra Jo Landoll |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 2664 Sacoma Ct, Grand Jct, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942624630 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | ACD.0000613 (Colorado) | Secondary |
101YP2500X | Counselor - Professional | 0013950 (Colorado) | Primary |
Entity Name | Primary Care Partners Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245392612 PECOS PAC ID: 7810893161 Enrollment ID: O20031209000400 |
Mailing Address | Practice Location Address |
---|---|
Debra Jo Landoll, MA, LAC 2664 Sacoma Ct, Grand Jct, CO 81506-1834 Ph: (970) 261-5254 | Debra Jo Landoll, MA, LAC 2664 Sacoma Ct, Grand Jct, CO 81506-1834 Ph: (970) 261-5254 |
Jason Cheney, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2520 W Pinyon Ave, Grand Jct, CO 81505 Phone: 970-462-9944 | |
Newton J Trowbridge, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1801 I 70 Business Loop Ste B5, Grand Jct, CO 81501 Phone: 970-245-3212 Fax: 970-245-3216 | |
Karen K Katzenberger, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 629 1/2 Broken Spoke Rd, Grand Jct, CO 81504 Phone: 970-640-6407 | |
Jenille Ann Gudahl, LPC, LAC Counselor Medicare: Medicare Enrolled Practice Location: 800 Belford Ave Ste 200a, Grand Jct, CO 81501 Phone: 970-361-1038 | |
Mr. Richard M. Israel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 Grand Ave, Grand Jct, CO 81501 Phone: 970-243-6377 | |
Mrs. Cheryl Lefevre, M.ED., LPC Counselor Medicare: Medicare Enrolled Practice Location: 743 Horizon Ct Ste 100b, Grand Jct, CO 81506 Phone: 970-596-2702 Fax: 844-888-1231 | |
Jacqueline Nichole Muniz, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 318 27 3/8 Road, Grand Jct, CO 81503 Phone: 970-312-4318 |