Ashley Fuller, | |
2271 Alpine Blvd Ste A, Alpine, CA 91901-1101 | |
(888) 688-0248 | |
Not Available |
Full Name | Ashley Fuller |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
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 |
---|---|---|---|
1285115857 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | 146850 (California) | Primary |
Entity Name | Fusion Care Group A Psychological Professional Corporation |
---|---|
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 |
---|---|
Ashley Fuller, 2271 Alpine Blvd Ste A, Alpine, CA 91901-1101 Ph: (888) 688-0248 | Ashley Fuller, 2271 Alpine Blvd Ste A, Alpine, CA 91901-1101 Ph: (888) 688-0248 |
Molly Downs-stoller, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2710 Alpine Blvd Ste K, #105, Alpine, CA 91901 Phone: 619-627-5004 | |
Tami Mason, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 4058 Willows Rd, Alpine, CA 91901 Phone: 619-445-1188 Fax: 619-659-9782 | |
Ms. Kathleen Grace Muir, MFTI Couples Therapy Medicare: Medicare Enrolled Practice Location: 2710 Alpine Blvd, Alpine, CA 91901 Phone: 619-873-7738 Fax: 619-324-4154 | |
Ime Davis, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2271 Alpine Blvd Ste A, Alpine, CA 91901 Phone: 619-448-1216 | |
Ms. Carole Ann Ross, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1851 Tavern Ct, Alpine, CA 91901 Phone: 619-823-0101 | |
Daniel Tataseo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2271 Alpine Blvd Ste A, Alpine, CA 91901 Phone: 888-688-0248 | |
Scott J Gregg, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4058 Willows Rd, Alpine, CA 91901 Phone: 619-445-1188 Fax: 619-659-9782 |