Ms Katherine Jean Imislund-clarke, LMHC | |
1200 Highway 60, Socorro, NM 87801-3914 | |
(575) 835-2444 | |
(575) 838-0150 |
Full Name | Ms Katherine Jean Imislund-clarke |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1200 Highway 60, Socorro, 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 |
---|---|---|---|
1780992107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0131401 (New Mexico) | Primary |
Entity Name | Whole Person Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598366056 PECOS PAC ID: 6800239393 Enrollment ID: O20240212004025 |
Mailing Address | Practice Location Address |
---|---|
Ms Katherine Jean Imislund-clarke, LMHC 1200 Highway 60, Socorro, NM 87801-3914 Ph: (575) 835-2444 | Ms Katherine Jean Imislund-clarke, LMHC 1200 Highway 60, Socorro, NM 87801-3914 Ph: (575) 835-2444 |
Ms. Anne Caitlin Lear, MS. LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 218 S California St, Socorro, NM 87801 Phone: 575-518-6012 | |
Ms. Chika Asai, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 Highway 60, Socorro, NM 87801 Phone: 575-835-2444 Fax: 575-838-0150 | |
Mrs. Lauren A Morgan, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1200 Highway 60, Socorro, NM 87801 Phone: 575-835-2444 Fax: 575-838-0150 | |
Juliana Zamora, Masters Student Intern, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 Us-60, Socorro, NM 87801 Phone: 575-835-2444 | |
Catherine L Rico, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 1200 Highway 60, Socorro, NM 87801 Phone: 575-835-2444 Fax: 575-838-0101 | |
Laurie Borden, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 Highway 60, Socorro, NM 87801 Phone: 575-835-2444 Fax: 575-838-0150 | |
Lorri Knight, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 Highway 60, Socorro, NM 87801 Phone: 575-835-2444 Fax: 575-838-0150 |