| Jennifer L Enders, MA | |
|
52 North Peacock Trail, Florence, AZ 85132 | |
| (928) 200-6638 | |
| Not Available |
| Full Name | Jennifer L Enders |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 52 North Peacock Trail, Florence, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407006380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC 13230 (Arizona) | Primary |
| Entity Name | Sondermind Provider Network Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210318002844 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L Enders, MA Po Box 1866, Florence, AZ 85132-3035 Ph: (928) 200-6638 | Jennifer L Enders, MA 52 North Peacock Trail, Florence, AZ 85132 Ph: (928) 200-6638 |
Mr. Duane Vernon Andersen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 S Main St, Florence, AZ 85232 Phone: 582-866-3540 Fax: 520-868-2312 | |
Lindi Gorishek, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 450 W Adamsville Rd Ste B, Florence, AZ 85132 Phone: 520-635-6300 Fax: 520-868-8159 | |
Natasha Marie Wagner, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5909 W Autumn Vista Way, Florence, AZ 85132 Phone: 480-540-1099 | |
Steven Michael Stein, LPC Counselor Medicare: Medicare Enrolled Practice Location: 4374 E Butte Avenue, Florence, AZ 85132 Phone: 520-868-0201 | |
Elizabeth Fogg Kessler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 65 E Ruggles St Ste 1, Florence, AZ 85132 Phone: 520-610-7075 Fax: 520-868-4006 | |
Ms. Michele Mitchell, LPC, CSAC, LASAC Counselor Medicare: Medicare Enrolled Practice Location: 495 N Pinal Pkwy, Florence, AZ 85132 Phone: 833-431-4449 |