John W Whiteside, | |
920 W Broadway St, Hobbs, NM 88240-5529 | |
(575) 393-3168 | |
(575) 397-4659 |
Full Name | John W Whiteside |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 920 W Broadway St, Hobbs, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174956619 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Burke Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396792420 PECOS PAC ID: 1254312077 Enrollment ID: O20040527000661 |
Mailing Address | Practice Location Address |
---|---|
John W Whiteside, 920 W Broadway St, Hobbs, NM 88240-5529 Ph: (575) 393-3168 | John W Whiteside, 920 W Broadway St, Hobbs, NM 88240-5529 Ph: (575) 393-3168 |
Kathleen J Nestor-groves, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Broadway St, Hobbs, NM 88240 Phone: 575-393-3168 Fax: 575-397-4659 | |
Jennifer Lee Ginanni, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 920 W Broadway St, Hobbs, NM 88240 Phone: 575-393-3168 Fax: 575-397-4659 | |
Kristine Calderon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Broadway St, Hobbs, NM 88240 Phone: 575-393-3168 | |
Mr. Brian Paul Arnold, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Broadway St, Hobbs, NM 88240 Phone: 575-393-3168 Fax: 575-397-4659 | |
Nathalie Lejeune-smith, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Broadway St, Hobbs, NM 88240 Phone: 575-393-3168 Fax: 575-397-4659 | |
Brenda Lozoya, Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Broadway St, Hobbs, NM 88240 Phone: 575-393-3168 |