| Clearlight Counseling Llc | |
|
20 Gallo Pl Valdez NM 87580 | |
| (508) 560-5630 | |
| Not Available |
| Full Name | Clearlight Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 20 Gallo Pl, Valdez, New Mexico |
| Authorized Official Name and Position | Andrew Chiaraluce (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 5085605630 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clearlight Counseling Llc Po Box 124 El Prado NM 87529-0124 Ph: (508) 560-5630 | Clearlight Counseling Llc 20 Gallo Pl Valdez NM 87580 Ph: (508) 560-5630 |
| NPI Number | 1528802394 |
|---|---|
| Provider Enumeration Date | 06/25/2024 |
| Last Update Date | 03/03/2025 |
| Certification Date | 02/28/2025 |
| Medicare PECOS PAC ID | 9032645270 |
|---|---|
| Medicare Enrollment ID | O20241216003274 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528802394 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Andrew J Chiaraluce |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821656000 PECOS PAC ID: 4688109895 Enrollment ID: I20241125003670 |
Roland W. Jacobs, Md, Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 156 Cerrito-colorado Rd., Valdez, NM 87580 Phone: 575-770-7892 Fax: 575-776-2922 |