| Peggy A Vaquera, LPCC | |
|
1306 Riverside Dr, Susanville, CA 96130-4432 | |
| (530) 260-0344 | |
| Not Available |
| Full Name | Peggy A Vaquera |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1306 Riverside Dr, Susanville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609413756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPCC10336 (California) | Primary |
| Entity Name | Northeastern Rural Health Clinics |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477563518 PECOS PAC ID: 0446225254 Enrollment ID: O20050630001203 |
| Mailing Address | Practice Location Address |
|---|---|
| Peggy A Vaquera, LPCC Po Box 115, Standish, CA 96128-0115 Ph: (530) 260-0344 | Peggy A Vaquera, LPCC 1306 Riverside Dr, Susanville, CA 96130-4432 Ph: (530) 260-0344 |
Aradala Marie Nelson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 Chestnut St, Susanville, CA 96130 Phone: 530-251-8112 Fax: 530-251-5884 | |
Natasha Cote, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 524 Woodside Way, Susanville, CA 96130 Phone: 530-249-7258 | |
Tanya Louise Etzel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 Chestnut St, Susanville, CA 96130 Phone: 530-251-8112 Fax: 530-251-5884 | |
Ms. Anita Mae Harsh Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 Chestnut St, Susanville, CA 96130 Phone: 530-251-8112 Fax: 530-251-5884 | |
Maryann Bacon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 Chestnut St, Susanville, CA 96130 Phone: 530-251-8112 Fax: 530-251-5884 | |
Joey Ware, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 Chestnut St, Susanville, CA 96130 Phone: 530-251-8112 Fax: 530-251-5884 | |
Karen Embree-smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 B Chestnut St., Susanville, CA 96130 Phone: 530-251-8304 Fax: 530-251-5884 |