| Yvonne M Mandagaran, LPPC | |
|
Hc 62 Box 2909, Thoreau, NM 87323-9505 | |
| (505) 240-1290 | |
| Not Available |
| Full Name | Yvonne M Mandagaran |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 21 Years |
| Location | Hc 62 Box 2909, Thoreau, New Mexico |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467767038 | NPI | - | NPPES |
| 435 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0126051 (New Mexico) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rehoboth Mckinley Christian Health Care Services, Inc. | 1759293855 | 32 |
| Entity Name | Rehoboth Mckinley Christian Health Care Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720084999 PECOS PAC ID: 1759293855 Enrollment ID: O20031105000466 |
| Mailing Address | Practice Location Address |
|---|---|
| Yvonne M Mandagaran, LPPC Hc 62 Box 2909, Thoreau, NM 87323-9505 Ph: (505) 240-1290 | Yvonne M Mandagaran, LPPC Hc 62 Box 2909, Thoreau, NM 87323-9505 Ph: (505) 240-1290 |
James Sandoval, NONE Counselor Medicare: Not Enrolled in Medicare Practice Location: .5 Miles East Of Hwy 371, Thoreau, NM 87323 Phone: 505-905-0061 Fax: 505-905-0064 | |
Mr. Deswood Johnson Jr., BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: Bldg # T004-006 05 Miles East Of 371, Thoreau, NM 87323 Phone: 505-905-0062 Fax: 505-905-0064 | |
Rhonda Lynette Bennett, LPCC Counselor Medicare: Medicare Enrolled Practice Location: 15 Navarre Blvd., Thoreau, NM 87323 Phone: 505-862-7417 | |
Cecil Lewis Jr., PASTOR Counselor Medicare: Not Enrolled in Medicare Practice Location: .5 Miles East Of Hwy 371, .5 Miles East Of Hwy 371, Thoreau, NM 87323 Phone: 505-905-0061 Fax: 505-905-0064 | |
Robinson Tom, COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: .5 Miles Off Hwy371, .5 Miles Off Hwy371, Thoreau, NM 87323 Phone: 505-905-0061 Fax: 505-905-0064 |