| Mariah Kayla Jake, | |
|
67 Tribal Road N7071 Unit 3414, Tohajiilee, NM 87026-5115 | |
| (505) 373-7278 | |
| Not Available |
| Full Name | Mariah Kayla Jake |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 67 Tribal Road N7071 Unit 3414, Tohajiilee, New Mexico |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629904198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (New Mexico) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mariah Kayla Jake, 3809 Atrisco Dr Nw Ste A, Albuquerque, NM 87120-4902 Ph: (055) 932-8979 | Mariah Kayla Jake, 67 Tribal Road N7071 Unit 3414, Tohajiilee, NM 87026-5115 Ph: (505) 373-7278 |
Tyrone Etsitty, Counselor Medicare: Not Enrolled in Medicare Practice Location: 129 Medicine Horse Dr, Tohajiilee, NM 87026 Phone: 505-908-2307 |
Alfred B Benalli, Counselor Medicare: Not Enrolled in Medicare Practice Location: 129 Medicine Horse Drive, Tohajiilee, NM 87026 Phone: 505-908-2307 |