Monica Banuelos, | |
1100 W 21st St, Clovis, NM 88101-4151 | |
(575) 769-2345 | |
(575) 769-8974 |
Full Name | Monica Banuelos |
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Gender | Female |
Speciality | Counselor |
Location | 1100 W 21st St, Clovis, 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 |
---|---|---|---|
1073942934 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | T-0161201 (New Mexico) | Primary |
Entity Name | Mental Health Resources, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811049653 PECOS PAC ID: 1759351414 Enrollment ID: O20040729000639 |
Mailing Address | Practice Location Address |
---|---|
Monica Banuelos, 1100 W 21st St, Clovis, NM 88101-4151 Ph: (575) 769-2345 | Monica Banuelos, 1100 W 21st St, Clovis, NM 88101-4151 Ph: (575) 769-2345 |
Selina Lucero, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 | |
Janice Coffman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 | |
Bennie Martinez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 505-471-5006 Fax: 505-820-9220 | |
Dustin D Lawson, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 | |
Felisha Gumbrecht, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 | |
Adrianna P Wycuff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1100 W 21st St, Clovis, NM 88101 Phone: 575-769-2345 | |
Spurgeon D Weaver, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 |