Stephanie Ann Trudeaux, | |
123 Linda Ct, Durango, CO 81301-3422 | |
(970) 759-5562 | |
Not Available |
Full Name | Stephanie Ann Trudeaux |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 123 Linda Ct, Durango, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962024984 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YS0200X | Counselor - School | 183840 (Colorado) | Secondary |
101YP2500X | Counselor - Professional | 0006070 (Colorado) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
Mailing Address | Practice Location Address |
---|---|
Stephanie Ann Trudeaux, 123 Linda Ct, Durango, CO 81301-3422 Ph: (970) 759-5562 | Stephanie Ann Trudeaux, 123 Linda Ct, Durango, CO 81301-3422 Ph: (970) 759-5562 |
Laura L Mcgourty, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 281 Sawyer Dr, Suite 100, Durango, CO 81303 Phone: 970-385-3491 | |
Julyet Lace Kudo, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2243 Main Ave, Suite 20, Durango, CO 81301 Phone: 970-259-0759 | |
Ilse Willenbuecher, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 281 Sawyer Dr, Durango, CO 81303 Phone: 970-259-2162 | |
Molly Rodriguez, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1125 Three Springs Blvd, Durango, CO 81301 Phone: 970-403-0180 Fax: 970-403-0190 | |
Joseph Frank Prekup, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1125 Three Springs Blvd, Durango, CO 81301 Phone: 970-317-9297 | |
Eve Nicole Williams, LCSW, LAC Counselor Medicare: Medicare Enrolled Practice Location: 281 Sawyer Dr Ste 100, Durango, CO 81303 Phone: 970-335-2231 | |
Marisa Asplund, MA LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2855 Main Ave Ste B103, Durango, CO 81301 Phone: 970-769-8856 |