| Vicky Schwallier, | |
|
1680 S 20th Ave, Safford, AZ 85546-4011 | |
| (928) 428-1377 | |
| (928) 428-6903 |
| Full Name | Vicky Schwallier |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1680 S 20th Ave, Safford, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033608401 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LAC5906T (Arizona) | Primary |
| Entity Name | Gila Valley Clinic Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255510228 PECOS PAC ID: 4981680683 Enrollment ID: O20040624001267 |
| Mailing Address | Practice Location Address |
|---|---|
| Vicky Schwallier, 1680 S 20th Ave, Safford, AZ 85546-4011 Ph: (928) 428-1377 | Vicky Schwallier, 1680 S 20th Ave, Safford, AZ 85546-4011 Ph: (928) 428-1377 |
Kimberly Ann Draper, LPC Counselor Medicare: Medicare Enrolled Practice Location: 301 E 4th St, Safford, AZ 85546 Phone: 928-792-4242 | |
Mr. Donald P Thomas, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1906 W Thatcher Blvd, Safford, AZ 85546 Phone: 928-428-8714 Fax: 928-428-8188 | |
Ms. Ivette Y Rabanal, LCSW, LADAC Counselor Medicare: Medicare Enrolled Practice Location: 618 S Central Ave, Safford, AZ 85546 Phone: 928-362-7343 | |
Mr. Rick W Wellbrook, LISAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1906 W Thatcher Blvd, Safford, AZ 85546 Phone: 928-428-8714 Fax: 928-428-8188 | |
Jared M Wilhelm, LPC, MC Counselor Medicare: Medicare Enrolled Practice Location: 112 E Main St, Safford, AZ 85546 Phone: 928-322-4401 | |
Mary Christine Hartzler, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 624 W 8th St, Safford, AZ 85546 Phone: 928-428-6554 |