Desert Counseling & Recovery Services | |
3970 W 24th St Ste 206 Yuma AZ 85364-9255 | |
(928) 373-8041 | |
(928) 259-2501 |
Full Name | Desert Counseling & Recovery Services |
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Speciality | Community/Behavioral Health |
Location | 3970 W 24th St Ste 206, Yuma, Arizona |
Authorized Official Name and Position | Maria Anaya Mckivergan (OWNER/CLINICIAN) |
Authorized Official Contact | 9283738041 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Desert Counseling & Recovery Services 3970 W 24th St Ste 206 Yuma AZ 85364-9255 Ph: (928) 373-8041 | Desert Counseling & Recovery Services 3970 W 24th St Ste 206 Yuma AZ 85364-9255 Ph: (928) 373-8041 |
NPI Number | 1164765350 |
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Provider Enumeration Date | 04/05/2013 |
Last Update Date | 04/28/2020 |
Certification Date | 04/28/2020 |
Medicare PECOS PAC ID | 3779848494 |
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Medicare Enrollment ID | O20200518000957 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164765350 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Evelyn Charlotte Trone |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1376652586 PECOS PAC ID: 5597020677 Enrollment ID: I20200520001478 |
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