Peggy A Vaquera, LPCC | |
1306 Riverside Dr, Susanville, CA 96130-4432 | |
(530) 260-0344 | |
Not Available |
Full Name | Peggy A Vaquera |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1306 Riverside Dr, Susanville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609413756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LPCC10336 (California) | Primary |
Entity Name | Northeastern Rural Health Clinics |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477563518 PECOS PAC ID: 0446225254 Enrollment ID: O20050630001203 |
Mailing Address | Practice Location Address |
---|---|
Peggy A Vaquera, LPCC Po Box 115, Standish, CA 96128-0115 Ph: (530) 260-0344 | Peggy A Vaquera, LPCC 1306 Riverside Dr, Susanville, CA 96130-4432 Ph: (530) 260-0344 |
Aradala Marie Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 Chestnut St, Susanville, CA 96130 Phone: 530-251-8112 Fax: 530-251-5884 | |
Natasha Cote, ASW Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 Hospital Ln, Susanville, CA 96130 Phone: 530-251-8108 | |
Tanya Louise Etzel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 Chestnut St, Susanville, CA 96130 Phone: 530-251-8112 Fax: 530-251-5884 | |
Ms. Anita Mae Harsh Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 Chestnut St, Susanville, CA 96130 Phone: 530-251-8112 Fax: 530-251-5884 | |
Maryann Bacon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 Chestnut St, Susanville, CA 96130 Phone: 530-251-8112 Fax: 530-251-5884 | |
Joey Ware, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 Chestnut St, Susanville, CA 96130 Phone: 530-251-8112 Fax: 530-251-5884 | |
Karen Embree-smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 B Chestnut St., Susanville, CA 96130 Phone: 530-251-8304 Fax: 530-251-5884 |