Amanda Cantu, | |
5492 Cr 32, Longmont, CO 80504 | |
(970) 310-7921 | |
Not Available |
Full Name | Amanda Cantu |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 5492 Cr 32, Longmont, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366931735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | LPC.0016963 (Colorado) | Primary |
Entity Name | Mental Health Center Of Boulder County, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093767543 PECOS PAC ID: 2163314857 Enrollment ID: O20040326001284 |
Mailing Address | Practice Location Address |
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Amanda Cantu, 5492 Cr 32, Longmont, CO 80504 Ph: (970) 310-7921 | Amanda Cantu, 5492 Cr 32, Longmont, CO 80504 Ph: (970) 310-7921 |
Rebecca Juan, MA, LPC, CHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 University Cir, Longmont, CO 80503 Phone: 303-819-1817 | |
Jenni Mcdade, MA, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 S Airport Rd, Longmont, CO 80503 Phone: 303-579-8642 | |
Amanda Deckelbaum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 720 100 Yearparty Ct, Longmont, CO 80504 Phone: 720-449-6676 | |
Olivia Howk-pomykal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 210 Ken Pratt Blvd Ste 140, Longmont, CO 80501 Phone: 970-281-5753 | |
Carl Baccellieri, M.A., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1245 Gay St, Longmont, CO 80501 Phone: 720-352-1178 | |
John Vandegrift, MA, CAC I Counselor Medicare: Not Enrolled in Medicare Practice Location: 709 3rd Ave, Longmont, CO 80501 Phone: 970-281-7872 | |
Kirsten Megan Norr, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1605 County Line Rd Apt H306, Longmont, CO 80504 Phone: 917-612-9242 |