Adrienne Dehaas, MFT | |
12815 Heacock St, Moreno Valley, CA 92553-3116 | |
(951) 601-6155 | |
Not Available |
Full Name | Adrienne Dehaas |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 12815 Heacock St, Moreno Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245439983 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | MFC37193 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
Mailing Address | Practice Location Address |
---|---|
Adrienne Dehaas, MFT 12815 Heacock St, Moreno Valley, CA 92553-3116 Ph: (951) 601-6155 | Adrienne Dehaas, MFT 12815 Heacock St, Moreno Valley, CA 92553-3116 Ph: (951) 601-6155 |
Dr. Gary Lee Woods, M.A., M.A., J.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 12968 Frederick St, Moreno Valley, CA 92553 Phone: 951-242-7738 Fax: 951-242-7733 | |
Vicki Kodad, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12712 Heacock St, Suite 6, Moreno Valley, CA 92553 Phone: 951-243-5576 | |
Monique Leeann Bowman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 23311 Dracaea Ave, Moreno Valley, CA 92553 Phone: 951-571-7500 | |
Mr. Jose Antonio Rodriguez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12625 Heacock St, Moreno Valley, CA 92553 Phone: 951-486-7948 | |
Amanda Bojorquez, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 12968 Frederick St Ste A, Moreno Valley, CA 92553 Phone: 951-208-0150 | |
Savannah Vest, AMFT, APCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 22445 Alessandro Blvd Ste 115-116, Moreno Valley, CA 92553 Phone: 951-924-9791 | |
Gail Meyers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12712 Heacock St Ste 6, Moreno Valley, CA 92553 Phone: 951-243-5576 |