| Complete Circle Counseling & Coaching, P.a. | |
|
127 E Avenue B Ste B Hutchinson KS 67501-7422 | |
| (620) 259-7993 | |
| (620) 259-7994 |
| Full Name | Complete Circle Counseling & Coaching, P.a. |
|---|---|
| Speciality | Social Worker |
| Location | 127 E Avenue B Ste B, Hutchinson, Kansas |
| Authorized Official Name and Position | Rebeca Sandoval (LSCSW) |
| Authorized Official Contact | 6206944078 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Complete Circle Counseling & Coaching, P.a. 127 E Avenue B Ste B Hutchinson KS 67501-7422 Ph: (620) 259-7993 | Complete Circle Counseling & Coaching, P.a. 127 E Avenue B Ste B Hutchinson KS 67501-7422 Ph: (620) 259-7993 |
| NPI Number | 1386875078 |
|---|---|
| Provider Enumeration Date | 07/29/2009 |
| Last Update Date | 07/12/2012 |
| Medicare PECOS PAC ID | 0648515130 |
|---|---|
| Medicare Enrollment ID | O20190103001302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386875078 | NPI | - | NPPES |
| 100098120A | Medicaid | KS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 3874 (Kansas) | Primary |
| Provider Name | Rebeca J Sandoval |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306943345 PECOS PAC ID: 0143412924 Enrollment ID: I20101012000809 |
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