| Carol Threde, | |
|
9100 Brentwood Blvd, Brentwood, CA 94513-4000 | |
| (925) 809-7920 | |
| (925) 809-7928 |
| Full Name | Carol Threde |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 9100 Brentwood Blvd, Brentwood, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750503538 | NPI | - | NPPES |
| 070753 | Other | CA | MASTER PROVIDER NUMBER |
| 07533 | Other | CA | ADOL TX ANTIOCH |
| 07534 | Other | CA | DMC ADULT ANTIOCH |
| 07553 | Other | CA | ADOL TX BRENTWOOD |
| 07557 | Other | CA | DMC ADOL BRENTWOOD |
| 0726 | Other | CA | MEDI-CAL PROVIDER NUMBER |
| 07536 | Other | CA | DMC ADOL ANTIOCH |
| 07556 | Other | CA | BYRON RANCH |
| 0753 | Other | CA | DRUG MEDI-CAL BILLING NUM |
| 07551 | Other | CA | ADULT TX BRENTWOOD |
| 07552 | Other | CA | DMC ADULT BRENTWOOD |
| 56682 | Other | CA | STAFF BILLING NUMBER |
| 070726 | Other | CA | MASTER PROVIDER NUMBER |
| 075531 | Other | CA | ADULT TX ANTIOCH |
| 07555 | Other | CA | DRUG COURT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Threde, 9100 Brentwood Blvd, Brentwood, CA 94513-4000 Ph: (925) 809-7920 | Carol Threde, 9100 Brentwood Blvd, Brentwood, CA 94513-4000 Ph: (925) 809-7920 |
Mrs. Nicole M Massari, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1210 Central Blvd Ste 116, Brentwood, CA 94513 Phone: 208-866-1822 | |
Hayley Rae Howard, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2838 Pristine Way, Brentwood, CA 94513 Phone: 408-375-1637 | |
Shawna Kurz, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 191 Sand Creek Rd Ste 202g, Brentwood, CA 94513 Phone: 925-237-6880 Fax: 925-237-6880 | |
Mr. Jose Guizar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1191 Central Blvd Ste A, Brentwood, CA 94513 Phone: 925-634-4445 Fax: 925-634-6235 | |
Mr. George Nikolas Pauls, MSW, CHES Counselor Medicare: Not Enrolled in Medicare Practice Location: 1323 Muscat Ct, Brentwood, CA 94513 Phone: 925-513-2495 | |
Jackie Smith Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 9100 Brentwood Blvd, Brentwood, CA 94513 Phone: 925-809-7920 Fax: 925-809-7928 | |
Harriett Matthews, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9100 Brentwood Blvd, Brentwood, CA 94513 Phone: 925-809-7920 Fax: 925-809-7928 |