Glenda Dazey, | |
415 Us Highway 95a S, Building 1, Fernley, NV 89408-9261 | |
(775) 575-7744 | |
(775) 575-7769 |
Full Name | Glenda Dazey |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 415 Us Highway 95a S, Fernley, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700272390 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | State Of Nevada |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760572010 PECOS PAC ID: 9234022153 Enrollment ID: O20040212000160 |
Mailing Address | Practice Location Address |
---|---|
Glenda Dazey, 415 Us Highway 95a S, Building 1, Fernley, NV 89408-9261 Ph: (775) 575-7744 | Glenda Dazey, 415 Us Highway 95a S, Building 1, Fernley, NV 89408-9261 Ph: (775) 575-7744 |
Susan Goddard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 Us Highway 95a S, Suite 702g, Fernley, NV 89408 Phone: 775-575-2284 | |
Ms. Kathleen J Needham, L.A.D.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 342 Bens Way, Fernley, NV 89408 Phone: 775-722-3698 Fax: 775-722-3698 | |
Lorraine Forbes, MHT1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 Highway 95a Building I, Fernley, NV 89408 Phone: 775-575-7744 Fax: 775-575-7769 | |
Alexandra Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 Us Highway 95a S, Suite 702g, Fernley, NV 89408 Phone: 775-575-2284 | |
Tammy Mcneill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 675 Silverlace Blvd, Apt 16, Fernley, NV 89408 Phone: 775-980-8017 | |
Mrs. Lisa F. Almada, MSC, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 Us Hwy 95 A South, Ste, G 701, Fernley, NV 89408 Phone: 775-575-2144 Fax: 775-575-2100 | |
Ashlee Jenkins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 415 Hwy 95 South Suite 702g, Fernley, NV 89408 Phone: 775-575-2284 |