| Jennifer L Enders, MA | |
|
1115 E Florence Blvd, Casa Grande, AZ 85122-4228 | |
| (480) 320-8378 | |
| Not Available |
| Full Name | Jennifer L Enders |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1115 E Florence Blvd, Casa Grande, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407006380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC 13230 (Arizona) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC 11863 (Arizona) | Secondary |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| 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 |
|---|---|
| Jennifer L Enders, MA 1115 E Florence Blvd, Casa Grande, AZ 85122-4228 Ph: (480) 320-8378 | Jennifer L Enders, MA 1115 E Florence Blvd, Casa Grande, AZ 85122-4228 Ph: (480) 320-8378 |
Sandra A Murdock, Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 N Florence St, Casa Grande, AZ 85122 Phone: 520-836-1675 Fax: 520-836-1668 | |
Deborah A Allen, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 W Main St, Casa Grande, AZ 85222 Phone: 520-836-1675 Fax: 520-421-1969 | |
Mr. Peter Anthony Picone, M.ED., LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 E Florence Blvd Ste G, Casa Grande, AZ 85122 Phone: 520-836-4278 | |
Miss Cynthia D. Varnay, MC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1901 N Trekell Rd, Casa Grande, AZ 85222 Phone: 520-421-2566 Fax: 520-421-2775 | |
Sara Chase, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 413 E Florence Blvd, Casa Grande, AZ 85122 Phone: 520-876-5764 Fax: 520-876-5913 | |
Dawna Lee Cranmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1851 N Westfall Ln, Casa Grande, AZ 85122 Phone: 970-619-1494 | |
Mary Flanery, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1365 E 12th St, Casa Grande, AZ 85122 Phone: 520-371-9646 Fax: 520-466-8851 |