Donald M Van Sickle Jr, LPCC is a
Psychologist - School based in Farmington, New Mexico. Donald M Van Sickle Jr is licensed to practice in New Mexico (license number 224-044) and his current practice location is
701 W Apache St, Farmington, New Mexico. He can be reached at his office (for appointments etc.) via phone at
(505) 327-7777.
NPI number for Donald M Van Sickle Jr is 1437166162 and his current mailing address is 4751 Sundance Rd, Farmington, New Mexico. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1437166162.
Healthcare Provider's Profile
Full Name | Donald M Van Sickle Jr |
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Gender | Male |
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Speciality | Psychologist - School |
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Location | 701 W Apache St, Farmington, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1437166162
- Provider Enumeration Date: 08/02/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Donald M Van Sickle Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437166162 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 0183 (New Mexico) | Primary |
103TS0200X | Psychologist - School | 224-044 (New Mexico) | 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. Donald M Van Sickle Jr 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 |
Donald M Van Sickle Jr, LPCC 4751 Sundance Rd, Farmington, NM 87401-9313 Ph: (505) 326-1074 | Donald M Van Sickle Jr, LPCC 701 W Apache St, Farmington, NM 87401-5511 Ph: (505) 327-7777 |
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