Rebecca Gutierrez, | |
323 W Mulberry St, Watseka, IL 60970-1568 | |
(815) 432-5241 | |
Not Available |
Full Name | Rebecca Gutierrez |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 323 W Mulberry St, Watseka, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316404932 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Yusuf Salah, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982254850 PECOS PAC ID: 3577895176 Enrollment ID: O20191031001966 |
Mailing Address | Practice Location Address |
---|---|
Rebecca Gutierrez, Po Box 322, Watseka, IL 60970-0322 Ph: () - | Rebecca Gutierrez, 323 W Mulberry St, Watseka, IL 60970-1568 Ph: (815) 432-5241 |
Illona Nykaza, Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 W Mulberry St, Watseka, IL 60970 Phone: 815-432-5241 | |
Allison Lindstrom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 W Mulberry St, Watseka, IL 60970 Phone: 815-432-5241 Fax: 815-432-4537 | |
Arika Stanley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 W Mulberry St, Watseka, IL 60970 Phone: 815-432-5241 | |
Mrs. Shannon Jo Francis, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 W Mulberry St, Watseka, IL 60970 Phone: 815-432-5241 Fax: 815-432-4537 | |
Heather Fletcher, Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 W Mulberry St, Watseka, IL 60970 Phone: 815-432-5241 Fax: 815-432-5241 | |
Hampton Rose, Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 W Mulberry St, Watseka, IL 60970 Phone: 815-432-5241 | |
Kristen Mcintyre, Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 W Mulberry St, Watseka, IL 60970 Phone: 815-432-5241 Fax: 815-432-4537 |