Ian G Livingston, APCC | |
159 Brentwood Dr, Grass Valley, CA 95945-5703 | |
(530) 271-1140 | |
Not Available |
Full Name | Ian G Livingston |
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Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 159 Brentwood Dr, Grass 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 |
---|---|---|---|
1225407919 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | R1202170515 (California) | Primary |
Entity Name | Native American Mental Health Services Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073919171 PECOS PAC ID: 5395072490 Enrollment ID: O20190813000872 |
Mailing Address | Practice Location Address |
---|---|
Ian G Livingston, APCC 2165 Larkspur Ln, Redding, CA 96002-0600 Ph: (530) 226-7419 | Ian G Livingston, APCC 159 Brentwood Dr, Grass Valley, CA 95945-5703 Ph: (530) 271-1140 |
Seth Thomas Derrick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 E Main St Ste 201, Grass Valley, CA 95945 Phone: 530-802-6993 | |
Westlie Aguilar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 714 W Main St, Grass Valley, CA 95945 Phone: 530-477-9800 | |
Samuel Sebastian Echeverria, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Crown Point Cir Ste 100, Grass Valley, CA 95945 Phone: 530-273-5440 | |
Mr. Daniel H. Peters, CATC-II Counselor Medicare: Not Enrolled in Medicare Practice Location: 180 Sierra College Dr, Grass Valley, CA 95945 Phone: 530-273-9541 Fax: 530-273-7740 | |
Mrs. Angela Johan Clark, LPC, LPCC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 673 S Auburn St, Grass Valley, CA 95945 Phone: 530-913-7221 | |
Mr. Joseph Adam Naake, RADTI Counselor Medicare: Not Enrolled in Medicare Practice Location: 256 Buena Vista St, Grass Valley, CA 95945 Phone: 530-274-2000 Fax: 530-274-2116 | |
Bryan Lassegard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 714 W Main St, Grass Valley, CA 95945 Phone: 530-477-9800 Fax: 530-477-9803 |