| Jessica Martin, | |
|
407 W 27th Ave, Torrington, WY 82240-1839 | |
| (307) 338-8099 | |
| Not Available |
| Full Name | Jessica Martin |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 407 W 27th Ave, Torrington, Wyoming |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730876087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 12009 (Nebraska) | Secondary |
| 101Y00000X | Counselor | 1328 (Wyoming) | Primary |
| Entity Name | Healing Connections Mental Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245823483 PECOS PAC ID: 5496164535 Enrollment ID: O20241009001706 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Martin, 407 W 27th Ave, Torrington, WY 82240-1839 Ph: (307) 338-8099 | Jessica Martin, 407 W 27th Ave, Torrington, WY 82240-1839 Ph: (307) 338-8099 |
Jodee Mendez, M.A.E. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1419 Main St, Torrington, WY 82240 Phone: 307-532-4197 | |
Thomas J Mitchell, MS LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Albany Ave, Torrington, WY 82240 Phone: 307-532-4091 Fax: 307-532-8409 | |
Kelsey Grant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1419 Main Street, Torrington, WY 82240 Phone: 307-532-4197 | |
Mr. Jaron Frederick, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 136 W 21st Ave, Torrington, WY 82240 Phone: 307-532-2119 | |
Dixie Yvonne Yardley, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 501 Albany Ave, Torrington, WY 82240 Phone: 307-532-4091 | |
Kimberly Dawn Huckfeldt-mundt, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2802 W C St, Torrington, WY 82240 Phone: 307-532-0134 | |
Whitney George, Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box 1117, Torrington, WY 82240 Phone: 307-532-4197 |