Ms Charise Mae Monge, MED, LAC, LMHCA is a
Counselor - Mental Health based in Patagonia, Arizona. Ms Charise Mae Monge is licensed to practice in Arizona (license number LAC-20308) and her current practice location is
277 W. Mckeown Ave, S1, Patagonia, Arizona. She can be reached at her office (for appointments etc.) via phone at
(520) 224-4793.
NPI number for Ms Charise Mae Monge is 1235525254 and her current mailing address is Po Box 971, Patagonia, Arizona. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1235525254.
Healthcare Provider's Profile
Full Name | Ms Charise Mae Monge |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 277 W. Mckeown Ave, Patagonia, Arizona |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1235525254
- Provider Enumeration Date: 04/07/2015
- Last Update Date: 07/19/2022
Medical Identifiers
Medical identifiers for Ms Charise Mae Monge such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1235525254 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | LAC20308 (Arizona) | Secondary |
101Y00000X | Counselor | MC60501445 (Washington) | Secondary |
101YM0800X | Counselor - Mental Health | LAC20308 (Arizona) | Secondary |
101YM0800X | Counselor - Mental Health | MC-60501445 (Washington) | Secondary |
101YM0800X | Counselor - Mental Health | LAC-20308 (Arizona) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Charise Mae Monge is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Charise Mae Monge, MED, LAC, LMHCA Po Box 971, Patagonia, AZ 85624 Ph: (520) 224-4793 | Ms Charise Mae Monge, MED, LAC, LMHCA 277 W. Mckeown Ave, S1, Patagonia, AZ 85624 Ph: (520) 224-4793 |
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