Jenna Deubler, | |
2060 Donelan Ave, Burlington, CO 80807-1401 | |
(719) 203-2040 | |
Not Available |
Full Name | Jenna Deubler |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 2060 Donelan Ave, Burlington, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114278892 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC.0018418 (Colorado) | 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: O20210113002826 |
Mailing Address | Practice Location Address |
---|---|
Jenna Deubler, 1209 E 4th Ave, Longmont, CO 80504-1335 Ph: (719) 203-2040 | Jenna Deubler, 2060 Donelan Ave, Burlington, CO 80807-1401 Ph: (719) 203-2040 |
Dr. Ralph S. Datema, D MIN. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1564 Senter Ave, Burlington, CO 80807 Phone: 303-974-0947 | |
Katie Leigh Gay, Counselor Medicare: Not Enrolled in Medicare Practice Location: 252 S 14th St, Burlington, CO 80807 Phone: 719-346-7158 | |
Brenda Reyes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1291 Circle Dr, Burlington, CO 80807 Phone: 719-346-8183 Fax: 719-346-0292 | |
Susan Leigh Sandoval, C.A.T. Counselor Medicare: Not Enrolled in Medicare Practice Location: 451 14th St, Burlington, CO 80807 Phone: 719-297-1818 | |
Harold Mcnerney, MSW, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 1291 Circle Dr, Burlington, CO 80807 Phone: 719-346-8183 | |
Sydney Terrell, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1291 Circle Dr, Burlington, CO 80807 Phone: 719-346-8183 |