| Cmg Counseling Pllc | |
|
10501 E Seven Generations Way #121 Tucson AZ 85747-5828 | |
| (520) 975-2028 | |
| (520) 207-0892 |
| Full Name | Cmg Counseling Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 10501 E Seven Generations Way, Tucson, Arizona |
| Authorized Official Name and Position | Cassandra M Gorman (OWNER/PROVIDER) |
| Authorized Official Contact | 5209752028 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cmg Counseling Pllc 10501 E Seven Generations Way #121 Tucson AZ 85747-5828 Ph: (520) 975-2028 | Cmg Counseling Pllc 10501 E Seven Generations Way #121 Tucson AZ 85747-5828 Ph: (520) 975-2028 |
| NPI Number | 1063743326 |
|---|---|
| Provider Enumeration Date | 01/26/2010 |
| Last Update Date | 10/19/2013 |
| Medicare PECOS PAC ID | 4981730827 |
|---|---|
| Medicare Enrollment ID | O20100330000517 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063743326 | NPI | - | NPPES |
| 458095 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW-12230 (Arizona) | Primary |
| Provider Name | Cassandra M Gorman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972627842 PECOS PAC ID: 9739215773 Enrollment ID: I20100330000489 |
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