Yvonne M Mandagaran, LPPC | |
Hc 62 Box 2909, Thoreau, NM 87323-9505 | |
(505) 240-1290 | |
Not Available |
Full Name | Yvonne M Mandagaran |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | Hc 62 Box 2909, Thoreau, 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 |
---|---|---|---|
1467767038 | NPI | - | NPPES |
435 | Medicaid | NM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0126051 (New Mexico) | Primary |
Entity Name | Rehoboth Mckinley Christian Health Care Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720084999 PECOS PAC ID: 1759293855 Enrollment ID: O20031105000466 |
Mailing Address | Practice Location Address |
---|---|
Yvonne M Mandagaran, LPPC Hc 62 Box 2909, Thoreau, NM 87323-9505 Ph: (505) 240-1290 | Yvonne M Mandagaran, LPPC Hc 62 Box 2909, Thoreau, NM 87323-9505 Ph: (505) 240-1290 |
James Sandoval, NONE Counselor Medicare: Not Enrolled in Medicare Practice Location: .5 Miles East Of Hwy 371, Thoreau, NM 87323 Phone: 505-905-0061 Fax: 505-905-0064 | |
Mr. Deswood Johnson Jr., BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: Bldg # T004-006 05 Miles East Of 371, Thoreau, NM 87323 Phone: 505-905-0062 Fax: 505-905-0064 | |
Rhonda Lynette Bennett, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 15 Navarre Blvd., Thoreau, NM 87323 Phone: 505-862-7417 | |
Cecil Lewis Jr., PASTOR Counselor Medicare: Not Enrolled in Medicare Practice Location: .5 Miles East Of Hwy 371, .5 Miles East Of Hwy 371, Thoreau, NM 87323 Phone: 505-905-0061 Fax: 505-905-0064 | |
Robinson Tom, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: .5 Miles Off Hwy371, .5 Miles Off Hwy371, Thoreau, NM 87323 Phone: 505-905-0061 Fax: 505-905-0064 |