| John W Whiteside, | |
|
920 W Broadway St, Hobbs, NM 88240-5529 | |
| (575) 393-3168 | |
| (575) 397-4659 |
| Full Name | John W Whiteside |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 920 W Broadway St, Hobbs, 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 |
|---|---|---|---|
| 1174956619 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Burke Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396792420 PECOS PAC ID: 1254312077 Enrollment ID: O20040527000661 |
| Mailing Address | Practice Location Address |
|---|---|
| John W Whiteside, 920 W Broadway St, Hobbs, NM 88240-5529 Ph: (575) 393-3168 | John W Whiteside, 920 W Broadway St, Hobbs, NM 88240-5529 Ph: (575) 393-3168 |
Kathleen J Nestor-groves, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Broadway St, Hobbs, NM 88240 Phone: 575-393-3168 Fax: 575-397-4659 | |
Jennifer Lee Ginanni, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 920 W Broadway St, Hobbs, NM 88240 Phone: 575-393-3168 Fax: 575-397-4659 | |
Kristine Calderon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Broadway St, Hobbs, NM 88240 Phone: 575-393-3168 | |
Mr. Brian Paul Arnold, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Broadway St, Hobbs, NM 88240 Phone: 575-393-3168 Fax: 575-397-4659 | |
Nathalie Lejeune-smith, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Broadway St, Hobbs, NM 88240 Phone: 575-393-3168 Fax: 575-397-4659 | |
Brenda Lozoya, Counselor Medicare: Not Enrolled in Medicare Practice Location: 920 W Broadway St, Hobbs, NM 88240 Phone: 575-393-3168 |