Mariah Rossel, | |
110 Clark Ave, Paonia, CO 81428-8471 | |
(614) 565-8232 | |
Not Available |
Full Name | Mariah Rossel |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 110 Clark Ave, Paonia, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528536943 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC.0016448 (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | LPC.0016448 (Colorado) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
Mailing Address | Practice Location Address |
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Mariah Rossel, 110 Clark Ave, Paonia, CO 81428-8471 Ph: () - | Mariah Rossel, 110 Clark Ave, Paonia, CO 81428-8471 Ph: (614) 565-8232 |
Christina Clouse, LPC Counselor Medicare: Medicare Enrolled Practice Location: 225 Minnesota Ave, Paonia, CO 81428 Phone: 720-334-2477 | |
William Huey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 523 Box Elder Ave, Paonia, CO 81428 Phone: 119-704-6265 | |
Caroline Mcmahon, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 Minnesota Ave, Paonia, CO 81428 Phone: 910-364-5297 | |
Ms. Marian Pierce, Counselor Medicare: Not Enrolled in Medicare Practice Location: 211 Grand Ave Unit 114, Paonia, CO 81428 Phone: 970-275-1166 |