Ms Rebecca Jand Clark, LPCC, CRC is a
Counselor - Professional based in Albuquerque,, New Mexico. Ms Rebecca Jand Clark is licensed to practice in New Mexico (license number 0077551) and her current practice location is
1501 San Pedro Se (116), Albuquerque,, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 265-1711.
NPI number for Ms Rebecca Jand Clark is 1831112671 and her current mailing address is 25 Calle Del Pinon, Sandia Park, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831112671.
Healthcare Provider's Profile
Full Name | Ms Rebecca Jand Clark |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 1501 San Pedro Se (116), Albuquerque,, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831112671
- Provider Enumeration Date: 07/25/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Rebecca Jand Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831112671 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 0077551 (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. Ms Rebecca Jand Clark 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 Address | Practice Location Address |
Ms Rebecca Jand Clark, LPCC, CRC 25 Calle Del Pinon, Sandia Park, NM 87047-9691 Ph: (505) 265-1711 | Ms Rebecca Jand Clark, LPCC, CRC 1501 San Pedro Se (116), Albuquerque,, NM 87108 Ph: (505) 265-1711 |
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