Mrs Cathleen Elizabeth Campaigne, LCSW | |
559 Vincent St, Attn: 21 Mdos/sgoh-mental Health, Peterson Afb, CO 80914-1541 | |
(719) 556-7804 | |
(866) 867-7926 |
Full Name | Mrs Cathleen Elizabeth Campaigne |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 559 Vincent St, Peterson Afb, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1932383759 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 992275 (Colorado) | Primary |
Entity Name | Desert Sage Health Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891201521 PECOS PAC ID: 7416217153 Enrollment ID: O20180129001056 |
Mailing Address | Practice Location Address |
---|---|
Mrs Cathleen Elizabeth Campaigne, LCSW 559 Vincent St, Attn: 21 Mdos/sgoh-mental Health, Peterson Afb, CO 80914-1541 Ph: (719) 556-7804 | Mrs Cathleen Elizabeth Campaigne, LCSW 559 Vincent St, Attn: 21 Mdos/sgoh-mental Health, Peterson Afb, CO 80914-1541 Ph: (719) 556-7804 |
Monica Ibarra, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 559 Vincent St., Attn: 21 Mdos/sgow - Family Advocacy, Peterson Afb, CO 80914 Phone: 719-556-8943 Fax: 877-813-1756 | |
Dr. Irene Ai-ling Wiles, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 559 Vincent St, Peterson Afb, CO 80914 Phone: 719-556-4762 | |
Mr. Scott Lee Maynard, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 559 Vincent St, Attn: 21 Mdos/sgoh--mental Health, Peterson Afb, CO 80914 Phone: 719-556-7804 |