Gyna Cassia Dantas Costa, LCSW92526 | |
7465 Mission Gorge Rd Ste 139, San Diego, CA 92120-1301 | |
(619) 797-5090 | |
Not Available |
Full Name | Gyna Cassia Dantas Costa |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 7465 Mission Gorge Rd Ste 139, San Diego, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1326577701 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
Entity Name | California Telemedicine Associates, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073153250 PECOS PAC ID: 7517371859 Enrollment ID: O20210128001414 |
Mailing Address | Practice Location Address |
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Gyna Cassia Dantas Costa, LCSW92526 7465 Mission Gorge Rd Ste 139, San Diego, CA 92120-1301 Ph: (619) 797-5090 | Gyna Cassia Dantas Costa, LCSW92526 7465 Mission Gorge Rd Ste 139, San Diego, CA 92120-1301 Ph: (619) 797-5090 |
Dione Taylor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2865 Logan Ave, San Diego, CA 92113 Phone: 619-232-4357 Fax: 619-232-7048 | |
Marva Albertha Harris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4335 Swift Ave, San Diego, CA 92104 Phone: 619-358-5665 Fax: 619-358-5665 | |
Susan Elizabeth Mcdowell, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1250 Morena Blvd, San Diego, CA 92110 Phone: 619-692-8715 | |
Gina Ballestreos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2535 Kettner Blvd, Suite 1a4, San Diego, CA 92101 Phone: 619-615-0701 Fax: 619-615-0705 | |
Alissa Ann Maitino, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 734 10th Ave, San Diego, CA 92101 Phone: 619-239-4663 Fax: 619-239-3045 | |
Margaret Knight, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3665 Kearny Villa Rd, San Diego, CA 92123 Phone: 858-576-1700 | |
Amanda Garrison, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9445 Farnham St, Suite100, San Diego, CA 92123 Phone: 858-380-4676 |