Mani Faez, | |
610 W Broadway Ave Ste L-1, Jackson, WY 83001-8213 | |
(307) 733-3908 | |
(307) 734-0017 |
Full Name | Mani Faez |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 610 W Broadway Ave Ste L-1, Jackson, Wyoming |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871037739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 89498 (California) | Primary |
Entity Name | Mental Health & Recovery Services Of Jackson Hole |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578635462 PECOS PAC ID: 0840272472 Enrollment ID: O20040607000292 |
Mailing Address | Practice Location Address |
---|---|
Mani Faez, Po Box 11390, Jackson, WY 83002-1390 Ph: (307) 733-3908 | Mani Faez, 610 W Broadway Ave Ste L-1, Jackson, WY 83001-8213 Ph: (307) 733-3908 |
Holland Wilson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 310 E Broadway Ave, Jackson, WY 83001 Phone: 307-654-7003 Fax: 307-224-4973 | |
Mrs. Julie Elledge, LMFT182 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 610 W Broadway Ave, 109, Jackson, WY 83001 Phone: 307-200-8777 | |
Thomas D Concannon, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 510 S Cache, Jackson, WY 83001 Phone: 307-733-6440 Fax: 307-733-6374 | |
Mr. Evan Ray Daily, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: Pmb #333 970 West Broadway, Suite E, Jackson, WY 83001 Phone: 307-732-3230 | |
Mrs. Lauraq Elise Santomauro, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 460 South Jackson Ave., Jackson, WY 83001 Phone: 307-690-2153 | |
Heidi Christine Somers, M.A., L.M.F.T Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 330 N Glenwood St, Jackson, WY 83001 Phone: 307-413-4334 |