Corinne Odom, | |
2271 Alpine Blvd Ste A, Alpine, CA 91901-1101 | |
(888) 688-0248 | |
Not Available |
Full Name | Corinne Odom |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2271 Alpine Blvd Ste A, Alpine, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366149841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 109794 (California) | Primary |
Entity Name | Fusion Care Group A Psychological Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275177982 PECOS PAC ID: 8921433590 Enrollment ID: O20200109000932 |
Mailing Address | Practice Location Address |
---|---|
Corinne Odom, 2271 Alpine Blvd Ste A, Alpine, CA 91901-1101 Ph: (888) 688-0248 | Corinne Odom, 2271 Alpine Blvd Ste A, Alpine, CA 91901-1101 Ph: (888) 688-0248 |
Alexa K Hall, ASW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4058 Willows Rd, Alpine, CA 91901 Phone: 619-445-1188 | |
Yezenia Arali Vargas, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2271 Alpine Blvd Ste A, Alpine, CA 91901 Phone: 626-991-5592 | |
Jennifer Boules-syta, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2271 Alpine Blvd Ste A, Alpine, CA 91901 Phone: 888-688-0248 | |
Cynthia Araceli Reyes, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2271 Alpine Blvd Ste A, Alpine, CA 91901 Phone: 888-688-0248 |