Jeanette Gallus, LPC | |
14985 S Avenida Cucana, Sahuarita, AZ 85629-8623 | |
(920) 915-1079 | |
Not Available |
Full Name | Jeanette Gallus |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 14985 S Avenida Cucana, Sahuarita, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477196046 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC11887 (Arizona) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210318002844 |
Mailing Address | Practice Location Address |
---|---|
Jeanette Gallus, LPC 14985 S Avenida Cucana, Sahuarita, AZ 85629-8623 Ph: (920) 915-1079 | Jeanette Gallus, LPC 14985 S Avenida Cucana, Sahuarita, AZ 85629-8623 Ph: (920) 915-1079 |
Tanisha J Ray, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 218 E Placita Lago Del Mago, Sahuarita, AZ 85629 Phone: 520-230-5174 | |
Derrick Hughes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 W Camino Tunera, Sahuarita, AZ 85629 Phone: 520-535-5015 | |
Edwin M Rios, Counselor Medicare: Not Enrolled in Medicare Practice Location: 253 E Thomas Jefferson Way, Sahuarita, AZ 85629 Phone: 520-573-6753 Fax: 520-573-6753 | |
Kari Moennig, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1225 W Calle De La Plz, Sahuarita, AZ 85629 Phone: 520-301-4346 | |
Mrs. Iris Morgan Roberts, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 947 E Stronghold Canyon Ln, Sahuarita, AZ 85629 Phone: 156-169-9749 | |
Ms. Joan Maree Linder, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 246 W Calle Del Estribo, Sahuarita, AZ 85629 Phone: 520-661-2174 Fax: 520-396-4887 |