| Maria Yolanda Renteria, LPC | |
|
151 S Oak Ave Ste 5, San Luis, AZ 85336-0756 | |
| (928) 662-0416 | |
| (928) 662-0408 |
| Full Name | Maria Yolanda Renteria |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 151 S Oak Ave Ste 5, San Luis, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548893233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPC-18731 (Arizona) | Primary |
| 101YP2500X | Counselor - Professional | LPC-18731 (Arizona) | Secondary |
| Entity Name | San Luis Walk-in Clinic Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104228337 PECOS PAC ID: 2668361841 Enrollment ID: O20040514000795 |
| Mailing Address | Practice Location Address |
|---|---|
| Maria Yolanda Renteria, LPC Po Box 617, Somerton, AZ 85350-0617 Ph: (928) 315-7910 | Maria Yolanda Renteria, LPC 151 S Oak Ave Ste 5, San Luis, AZ 85336-0756 Ph: (928) 662-0416 |
Mr. Wesley William Lore, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 16487, San Luis, AZ 85349 Phone: 484-330-1837 | |
Judith Gomez, LAC Counselor Medicare: Medicare Enrolled Practice Location: 815 E Cesar Chavez Blvd, San Luis, AZ 85349 Phone: 928-627-3822 Fax: 928-627-6666 | |
Cynthia Acker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1508 N. 10th Ave, San Luis, AZ 85349 Phone: 928-627-6914 | |
Carolina Prieto, PSY. D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1896 E Babbitt Ln, San Luis, AZ 85349 Phone: 928-722-6112 Fax: 928-722-6113 | |
Mr. Martin J. Lara, MACC, LISAC, ALPC, P Counselor Medicare: Not Enrolled in Medicare Practice Location: 1453 N Main St. Suite F, San Luis, AZ 85349 Phone: 928-627-6567 | |
Mrs. Martha Brown, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1453 N. Main St. Suite F, San Luis, AZ 85349 Phone: 928-627-6540 Fax: 928-627-3635 | |
Jose Bucio, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3300 E Bruce Jackson Pl, San Luis, AZ 85336 Phone: 928-941-8799 |