Mrs Jennifer John Charley, LADAC - Counselor in Pinehill, NM

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Mrs Jennifer John Charley, LADAC is a Counselor - Addiction (substance Use Disorder) based in Pinehill, New Mexico. Mrs Jennifer John Charley is licensed to practice in New Mexico (license number 0119271) and her current practice location is 15 Behavioral Health Rd, Pinehill, New Mexico. She can be reached at her office (for appointments etc.) via phone at (505) 775-3353.

NPI number for Mrs Jennifer John Charley is 1659735140 and her current mailing address is Po Box 490, Pinehill, New Mexico. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659735140.

Contact Information

Mrs Jennifer John Charley, LADAC
15 Behavioral Health Rd,
Pinehill, NM 87357
(505) 775-3353
(505) 775-3630

Map and Direction


Healthcare Provider's Profile

Full NameMrs Jennifer John Charley
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location15 Behavioral Health Rd, Pinehill, New Mexico
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1659735140
  • Provider Enumeration Date: 04/11/2016
  • Last Update Date: 04/11/2016

Medical Identifiers

Medical identifiers for Mrs Jennifer John Charley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1659735140NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 0119271 (New Mexico)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Jennifer John Charley is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jennifer John Charley, LADAC
Po Box 490,
Pinehill, NM 87357-0490

Ph: (505) 775-3353		Mrs Jennifer John Charley, LADAC
15 Behavioral Health Rd,
Pinehill, NM 87357

Ph: (505) 775-3353

Reviews and Comments


Counselor in Pinehill, NM


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