| Anna Chavez-sandoval, LPC | |
|
1942 Broadway Ste 314c, Boulder, CO 80302-5233 | |
| (719) 215-8469 | |
| Not Available |
| Full Name | Anna Chavez-sandoval |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1942 Broadway Ste 314c, Boulder, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245641885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Entity Name | San Luis Valley Community Mental Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063406999 PECOS PAC ID: 0345267779 Enrollment ID: O20051025001036 |
| Mailing Address | Practice Location Address |
|---|---|
| Anna Chavez-sandoval, LPC Po Box 522, La Jara, CO 81140-0522 Ph: (719) 215-8469 | Anna Chavez-sandoval, LPC 1942 Broadway Ste 314c, Boulder, CO 80302-5233 Ph: (719) 215-8469 |
Ms. Glenda Russell O'rourke, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4716 Ashfield Ct, Boulder, CO 80301 Phone: 303-443-9446 Fax: 303-447-2173 | |
Veronique P Mead, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4439 Driftwood Pl, Boulder, CO 80301 Phone: 303-581-0411 | |
Carlos Trujillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-413-6212 | |
Guilherme Zavaschi, Counselor Medicare: Medicare Enrolled Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-443-8500 | |
Ms. Regina Cannon, REGISTERED PSYCHOTHE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-443-8500 | |
Amanda Fielder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-443-8500 Fax: 303-449-6029 | |
Lynne Marie Andrade, MA, LPCC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3360 Everett Dr, Boulder, CO 80305 Phone: 970-532-9999 |