Mary Joalice Milan, LAC | |
6844 Bethany Dr, Parker, CO 80138-3907 | |
(303) 514-5468 | |
Not Available |
Full Name | Mary Joalice Milan |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 6844 Bethany Dr, Parker, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1750014478 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC.0017272 (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 |
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Mary Joalice Milan, LAC 6844 Bethany Dr, Parker, CO 80138-3907 Ph: (303) 514-5468 | Mary Joalice Milan, LAC 6844 Bethany Dr, Parker, CO 80138-3907 Ph: (303) 514-5468 |
Deborah Warner, MSC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10290 S Progress Way Ste 207, Parker, CO 80134 Phone: 720-295-6810 | |
Mrs. Janna Lynn Benkelman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19557 E Main St Ste 107, Parker, CO 80138 Phone: 303-805-7168 | |
Scott Allan Quayle, Counselor Medicare: Medicare Enrolled Practice Location: 9235 Crown Crest Blvd Ste 250, Parker, CO 80138 Phone: 303-730-8858 | |
Michael Capre, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10728 Foxwood Ct, Parker, CO 80138 Phone: 303-619-3548 | |
Troy Alan Schimek, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 10290 S Progress Way, Parker, CO 80134 Phone: 720-295-1835 | |
Jean Bullock Cole, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9395 Crown Crest Blvd, Parker, CO 80138 Phone: 303-269-4590 | |
Mr. Craig David Lounsbrough, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 19284 Cottonwood Drive, Suite 202, Parker, CO 81038 Phone: 303-593-0575 Fax: 303-840-0902 |