Jacob W Abbas, | |
95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 | |
(970) 731-3700 | |
(970) 731-0511 |
Full Name | Jacob W Abbas |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 95 S Pagosa Blvd, Pagosa Springs, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376003236 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC.0018706 (Colorado) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
Entity Name | Arapahoe Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437763968 PECOS PAC ID: 7315850708 Enrollment ID: O20031111000581 |
Entity Name | The 40 20 Collective Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154050128 PECOS PAC ID: 1557741527 Enrollment ID: O20220707003780 |
Mailing Address | Practice Location Address |
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Jacob W Abbas, 95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 Ph: (970) 731-3700 | Jacob W Abbas, 95 S Pagosa Blvd, Pagosa Springs, CO 81147-8329 Ph: (970) 731-3700 |
Zane Wesley Barnes, CAS Counselor Medicare: Accepting Medicare Assignments Practice Location: 52 Village Dr, Pagosa Springs, CO 81147 Phone: 970-264-2104 | |
Amber Hurt, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 52 Village Dr, Pagosa Springs, CO 81147 Phone: 970-264-2104 | |
Mr. Gary Hannemann, Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 S Pagosa Blvd, Pagosa Springs, CO 81147 Phone: 970-946-2540 | |
Sarah Barnes, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 52 Village Dr, Pagosa Springs, CO 81147 Phone: 970-264-2104 Fax: 970-264-2108 | |
Amanda Vincent-schick, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Parelli Way, Pagosa Springs, CO 81147 Phone: 970-978-0970 | |
Erik W Foss, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2800 Cornerstone Dr, Pagosa Springs, CO 81147 Phone: 970-570-5238 | |
Jennifer L Burleton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 52 Village Dr, Pagosa Springs, CO 81147 Phone: 970-264-2104 |