Jennifer Medina Vaughn, | |
760 Mountain View St, Altadena, CA 91001-4925 | |
(626) 798-6793 | |
Not Available |
Full Name | Jennifer Medina Vaughn |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 760 Mountain View St, Altadena, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023257862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | IMF91477 (California) | Primary |
Entity Name | Soultenders Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164617007 PECOS PAC ID: 6507170453 Enrollment ID: O20150917001766 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Medina Vaughn, 9127 Longden Ave, Temple City, CA 91780-1604 Ph: (360) 878-1110 | Jennifer Medina Vaughn, 760 Mountain View St, Altadena, CA 91001-4925 Ph: (626) 798-6793 |
Anita Lehmann Sorenson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1204 New York Drive, Altadena, CA 91001 Phone: 626-796-9300 | |
Aida Judith Enciso, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 760 Mountain View St, Altadena, CA 91001 Phone: 626-798-6793 | |
Valeria Lindenfeld, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3326 Raymond Ave, Altadena, CA 91001 Phone: 818-209-8781 | |
Vida Khavar, M.A., MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 760 Mountain View St, Altadena, CA 91001 Phone: 626-246-1757 | |
Regina Marie Bette, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 760 Mountain View St, Altadena, CA 91001 Phone: 626-798-6793 | |
Ms. Brooke Nisen, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 183 E Palm St, Altadena, CA 91001 Phone: 626-798-7222 |