Mrs Nichole Jessica Wojtanowski, LPC | |
1163 E Windsor Dr, Gilbert, AZ 85296-4260 | |
(602) 791-5053 | |
(602) 254-3831 |
Full Name | Mrs Nichole Jessica Wojtanowski |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 1163 E Windsor Dr, Gilbert, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598483711 | NPI | - | NPPES |
LPC16653 | Other | AZ | BOARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC16653 (Arizona) | Primary |
Entity Name | Southwest Behavioral Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144384389 PECOS PAC ID: 9739075854 Enrollment ID: O20040225000948 |
Mailing Address | Practice Location Address |
---|---|
Mrs Nichole Jessica Wojtanowski, LPC 1163 E Windsor Dr, Gilbert, AZ 85296-4260 Ph: (602) 791-5053 | Mrs Nichole Jessica Wojtanowski, LPC 1163 E Windsor Dr, Gilbert, AZ 85296-4260 Ph: (602) 791-5053 |
Jennifer Oetjen, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1075 S Agnes Ln, Gilbert, AZ 85296 Phone: 480-275-5700 | |
Christina Michelle Brown, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 625 N Gilbert Rd Ste 203, Gilbert, AZ 85234 Phone: 480-646-6419 | |
Haley Mlnarik, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2314 S Val Vista Dr, Gilbert, AZ 85295 Phone: 480-804-0326 | |
Ms. Jean Kerr, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 880 N Colorado St, Gilbert, AZ 85233 Phone: 480-820-0825 Fax: 480-820-7863 | |
Lauretta E Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4068 E Pecos Rd, Gilbert, AZ 85295 Phone: 480-279-7321 Fax: 480-279-7305 | |
Emalee Grant, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1206 E Warner Rd Ste 115, Gilbert, AZ 85296 Phone: 480-590-3915 | |
William F Krueger, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1425 W Elliot Rd Ste 207, Gilbert, AZ 85233 Phone: 480-818-6777 |