Jeffrey Lynn Baum Jr, LPC | |
4020 E Toledo St Unit 103, Gilbert, AZ 85295-0171 | |
(602) 826-0126 | |
Not Available |
Full Name | Jeffrey Lynn Baum Jr |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 4020 E Toledo St Unit 103, Gilbert, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811581093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 19349 (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 |
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Jeffrey Lynn Baum Jr, LPC 4020 E Toledo St Unit 103, Gilbert, AZ 85295-0171 Ph: () - | Jeffrey Lynn Baum Jr, LPC 4020 E Toledo St Unit 103, Gilbert, AZ 85295-0171 Ph: (602) 826-0126 |
Jennifer Oetjen, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1075 S Agnes Ln, Gilbert, AZ 85296 Phone: 480-275-5700 | |
Ms. Jean Kerr, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 880 N Colorado St, Gilbert, AZ 85233 Phone: 480-820-0825 Fax: 480-820-7863 | |
Lauretta E Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4068 E Pecos Rd, Gilbert, AZ 85295 Phone: 480-279-7321 Fax: 480-279-7305 | |
Emalee Grant, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1206 E Warner Rd Ste 115, Gilbert, AZ 85296 Phone: 480-590-3915 | |
Brian Theer, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3651 E Baseline Rd # E104, Gilbert, AZ 85234 Phone: 602-833-2829 | |
Isabella C Moreno, SCHOOL PSYCHOLOGIST Counselor Medicare: Not Enrolled in Medicare Practice Location: 913 E Hearne Way, Gilbert, AZ 85234 Phone: 480-892-2022 | |
Craig Kent Dalton, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 690 E Warner Rd Ste 115, Gilbert, AZ 85296 Phone: 480-444-2434 |