| Jacquelyn Hoppe, | |
|
121 Townsgate Plz, Clovis, NM 88101-3714 | |
| (575) 742-2620 | |
| Not Available |
| Full Name | Jacquelyn Hoppe |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 121 Townsgate Plz, Clovis, New Mexico |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194082958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0148671 (New Mexico) | Primary |
| Entity Name | Mcs Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538717723 PECOS PAC ID: 8820492267 Enrollment ID: O20240404002409 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacquelyn Hoppe, Po Box 28220, Santa Fe, NM 87592-8220 Ph: () - | Jacquelyn Hoppe, 121 Townsgate Plz, Clovis, NM 88101-3714 Ph: (575) 742-2620 |
Selina Lucero, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 | |
Janice Coffman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 | |
Bennie Martinez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 505-471-5006 Fax: 505-820-9220 | |
Dustin D Lawson, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 | |
Felisha Gumbrecht, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 | |
Spurgeon D Weaver, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 | |
Kathy J Perales, BMS Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Townsgate Plz, Clovis, NM 88101 Phone: 575-742-2620 |