| New Leaf Counseling Llc | |
|
929 S Washington St Junction City KS 66441 | |
| (785) 802-9024 | |
| Not Available |
| Full Name | New Leaf Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 929 S Washington St, Junction City, Kansas |
| Authorized Official Name and Position | Tessa Gutierrez (DIRECTOR/OWNER) |
| Authorized Official Contact | 7858029024 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Leaf Counseling Llc 929 S Washington St Junction City KS 66441 Ph: (785) 802-9024 | New Leaf Counseling Llc 929 S Washington St Junction City KS 66441 Ph: (785) 802-9024 |
| NPI Number | 1952914129 |
|---|---|
| Provider Enumeration Date | 08/28/2020 |
| Last Update Date | 07/26/2021 |
| Certification Date | 07/26/2021 |
| Medicare PECOS PAC ID | 6608279500 |
|---|---|
| Medicare Enrollment ID | O20210729003395 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952914129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tessa Gutierrez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073834602 PECOS PAC ID: 5890937577 Enrollment ID: I20130808000427 |
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