Dawn Michelle Rodriguez, MFT | |
7273 Murray Dr, Suite 16, Stockton, CA 95210-3351 | |
(209) 688-3529 | |
(209) 644-6924 |
Full Name | Dawn Michelle Rodriguez |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 7273 Murray Dr, Stockton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710042791 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 41286 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Dawn Michelle Rodriguez, MFT 7273 Murray Dr, Suite 16, Stockton, CA 95210-3351 Ph: (209) 688-3529 | Dawn Michelle Rodriguez, MFT 7273 Murray Dr, Suite 16, Stockton, CA 95210-3351 Ph: (209) 688-3529 |
Van Thi Le, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4422 N Pershing Ave Ste D5, Stockton, CA 95207 Phone: 209-953-8843 Fax: 209-953-8478 | |
Mariaelena Garcia Vasquez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1149 N El Dorado St, Stockton, CA 95202 Phone: 209-468-2335 | |
Ms. Maria Rodriguez, MASTERS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2495 W March Ln, Suite 125, Stockton, CA 95207 Phone: 209-465-1080 | |
Shadeed Hasan Ii, Counselor Medicare: Medicare Enrolled Practice Location: 1811 Grand Canal Blvd Ste 2, Stockton, CA 95207 Phone: 877-418-2978 | |
Priscilla Ellis-white, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8626 Lower Sacramento Rd, Suite #41, Stockton, CA 95210 Phone: 209-478-2487 Fax: 209-478-1476 | |
Mr. Kenneth Ray Cocio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-468-8660 | |
April Cobbs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2495 W. March Lane Suite 125, Stockton, CA 95207 Phone: 209-465-1080 |