| Jared J. Gonzales Llc | |
|
1395 Missouri Ave Las Cruces NM 88001-5327 | |
| (575) 522-5466 | |
| Not Available |
| Full Name | Jared J. Gonzales Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1395 Missouri Ave, Las Cruces, New Mexico |
| Authorized Official Name and Position | Jared Gonzales (PSYCHOLOGIST) |
| Authorized Official Contact | 5756214304 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jared J. Gonzales Llc 4672 Mesita St Las Cruces NM 88012-6329 Ph: (575) 621-4304 | Jared J. Gonzales Llc 1395 Missouri Ave Las Cruces NM 88001-5327 Ph: (575) 522-5466 |
| NPI Number | 1245963651 |
|---|---|
| Provider Enumeration Date | 07/04/2022 |
| Last Update Date | 07/04/2022 |
| Certification Date | 07/04/2022 |
| Medicare PECOS PAC ID | 6709254386 |
|---|---|
| Medicare Enrollment ID | O20221202000472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245963651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Jared J Gonzales |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801224332 PECOS PAC ID: 0244600641 Enrollment ID: I20221229001430 |
| Provider Name | Cynthia League |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407215411 PECOS PAC ID: 1153761770 Enrollment ID: I20240430003025 |
Clear Lake Studio, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1925 Anita Dr, Las Cruces, NM 88001 Phone: 915-345-5489 Fax: 575-541-3690 | |
Linda C Daniels Phd Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1990 E Lohman Ave, Suite 202, Las Cruces, NM 88001 Phone: 575-528-6166 | |
Grabasch Associates Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 619 N Alameda Blvd, Las Cruces, NM 88005 Phone: 419-204-6612 Fax: 419-204-6612 | |
4 Directions Integrative Mental Health, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 125 W Boutz Rd, Las Cruces, NM 88005 Phone: 575-523-5222 Fax: 575-523-8031 | |
Fortitude Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1934 Cruse Ave, Las Cruces, NM 88005 Phone: 575-694-8407 | |
Epoch Behavioral Healthcare Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 S Main St, Las Cruces, NM 88001 Phone: 855-469-3242 Fax: 855-324-2329 | |
Calvary Counseling Service Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1800 S Locust St, Las Cruces, NM 88001 Phone: 575-522-7900 Fax: 575-522-7901 |