Dr Michael Esteban Gerald, CMHC, LMHC, CRC | |
6405 Old Main Hill, Logan, UT 84322-6405 | |
(435) 797-3401 | |
(844) 308-5865 |
Full Name | Dr Michael Esteban Gerald |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 6405 Old Main Hill, Logan, Utah |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255840021 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 086738 (Iowa) | Secondary |
101YM0800X | Counselor - Mental Health | 11891260-6004 (Utah) | Primary |
Entity Name | Utah State University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235374984 PECOS PAC ID: 3476715491 Enrollment ID: O20120508000468 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Esteban Gerald, CMHC, LMHC, CRC 6405 Old Main Hill, Logan, UT 84322-6405 Ph: (435) 797-3401 | Dr Michael Esteban Gerald, CMHC, LMHC, CRC 6405 Old Main Hill, Logan, UT 84322-6405 Ph: (435) 797-3401 |
Jakob Thomas Newlon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6405 Old Main Hill, Logan, UT 84322 Phone: 801-797-3405 | |
Leland James Dayley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 655 E 1300 N, Logan, UT 84341 Phone: 435-792-6500 Fax: 435-792-6600 | |
Niquelle Baxter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 274 N Main St, Logan, UT 84321 Phone: 435-213-9278 | |
Sharon Denice Rivera, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6405 Old Main Hill, Logan, UT 84322 Phone: 435-797-0290 | |
Matthew Taylor Hedelius, PSY. D. LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 W Cache Valley Blvd, #10a, Logan, UT 84341 Phone: 435-787-2272 Fax: 435-713-4001 | |
Mr. Wesley Willard Larson, MS LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 E Center St, Logan, UT 84321 Phone: 435-752-1976 Fax: 435-755-6707 | |
Jeannine Deborah Nielson, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 965 S 100 W, Suite 203, Logan, UT 84321 Phone: 435-752-1976 Fax: 435-755-6707 |