Russ Alan Patten, LPC | |
202 W North St, Cortez, CO 81321-3121 | |
(801) 263-7100 | |
(844) 888-1231 |
Full Name | Russ Alan Patten |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 202 W North St, Cortez, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417393059 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 8491579-6009 (Utah) | Secondary |
101YP2500X | Counselor - Professional | LPC.0014578 (Colorado) | Primary |
Entity Name | Renee Podunovich Counseling Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598231656 PECOS PAC ID: 3971953837 Enrollment ID: O20231219002656 |
Mailing Address | Practice Location Address |
---|---|
Russ Alan Patten, LPC 202 W North St, Cortez, CO 81321-3121 Ph: (801) 263-7100 | Russ Alan Patten, LPC 202 W North St, Cortez, CO 81321-3121 Ph: (801) 263-7100 |
Gabrielle Medina, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 925 S Broadway Ste 211, Cortez, CO 81321 Phone: 970-516-7049 | |
Ms. Erica Whipple Baker, CACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 N Ash St, Cortez, CO 81321 Phone: 970-565-4109 Fax: 970-565-8804 | |
Shannon L Ferrari, Counselor Medicare: Accepting Medicare Assignments Practice Location: 1311a N Mildred Rd, Cortez, CO 81321 Phone: 970-565-8556 | |
Caina R Miller-wilson, Counselor Medicare: Medicare Enrolled Practice Location: 691 E Empire St, Cortez, CO 81321 Phone: 970-565-7946 | |
Denise K Hall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 691 E Empire St, Cortez, CO 81321 Phone: 970-565-7946 Fax: 970-565-9005 | |
Ann L Wetton, MSW, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 N. Ash Street, Cortez, CO 81321 Phone: 970-565-4109 Fax: 970-565-8005 | |
Ms. Jane Henninger Weiland, CACII Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 N Ash St, Cortez, CO 81321 Phone: 970-565-4109 Fax: 970-565-8804 |