Ms Susan M Haugen, MA | |
2573 State Highway 522, Questa, NM 87556 | |
(575) 586-0315 | |
Not Available |
Full Name | Ms Susan M Haugen |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 2573 State Highway 522, Questa, 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 |
---|---|---|---|
1174061287 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 0121831 (New Mexico) | Secondary |
101YP2500X | Counselor - Professional | 0097881 (New Mexico) | Primary |
Entity Name | Presbyterian Medical Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871505032 PECOS PAC ID: 2062324684 Enrollment ID: O20031103000414 |
Mailing Address | Practice Location Address |
---|---|
Ms Susan M Haugen, MA 96 Maestas Rd Unit A, Ranchos De Taos, NM 87557-9780 Ph: (575) 779-7804 | Ms Susan M Haugen, MA 2573 State Highway 522, Questa, NM 87556 Ph: (575) 586-0315 |
Veronika Anne Peacetree, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: Pms-questa Health Center, 2573 State Hwy522, Questa, NM 87566 Phone: 575-586-0331 Fax: 575-586-0519 | |
Tonya Walker, Counselor Medicare: Medicare Enrolled Practice Location: 2349 Nm-522, Suite 5, Questa, NM 87556 Phone: 402-418-8848 | |
Angelica Deidre Medina, CCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2573 State Highway 522, Questa, NM 87556 Phone: 575-586-0315 | |
Arielle Maria Rothenberg, MPS, LMHC, LPAT Counselor Medicare: Medicare Enrolled Practice Location: 5 Juniper Road, Questa, NM 87556 Phone: 650-380-9547 | |
Kelly Cramer, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2573 State Highway 522, Questa, NM 87556 Phone: 575-586-0331 Fax: 575-586-0519 |