Jetzen Counseling | |
508b W Mckay St Carlsbad NM 88220-5067 | |
(575) 636-2468 | |
Not Available |
Full Name | Jetzen Counseling |
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Speciality | Social Worker |
Location | 508b W Mckay St, Carlsbad, New Mexico |
Authorized Official Name and Position | Johnna Yeager (LICENSED CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 5753027035 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jetzen Counseling 1016 Albert St Carlsbad NM 88220-4528 Ph: (575) 302-7035 | Jetzen Counseling 508b W Mckay St Carlsbad NM 88220-5067 Ph: (575) 636-2468 |
NPI Number | 1487400214 |
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Provider Enumeration Date | 04/24/2024 |
Last Update Date | 04/24/2024 |
Certification Date | 04/23/2024 |
Medicare PECOS PAC ID | 6901346451 |
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Medicare Enrollment ID | O20240911000040 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487400214 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Johnna Yeager |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1780117267 PECOS PAC ID: 9931524261 Enrollment ID: I20200804002320 |
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