| Jennifer Tamarra Caldwell-hernandez, | |
|
3106 Ursus Ct, Antioch, CA 94531-9352 | |
| (510) 421-9295 | |
| Not Available |
| Full Name | Jennifer Tamarra Caldwell-hernandez |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 3106 Ursus Ct, Antioch, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538295456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | 90048 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Entity Name | Brightside Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20220404000301 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Tamarra Caldwell-hernandez, 3106 Ursus Ct, Antioch, CA 94531-9352 Ph: (510) 421-9295 | Jennifer Tamarra Caldwell-hernandez, 3106 Ursus Ct, Antioch, CA 94531-9352 Ph: (510) 421-9295 |
Mrs. Carmen Ancinas-gee, MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 2213 Buchanan Rd, Antioch, CA 94509 Phone: 925-779-4964 | |
Kathy Lee Quinlan, IMF Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 315 G St, Antioch, CA 94509 Phone: 925-706-8477 Fax: 925-706-0285 | |
Jimena Salcedo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2335 Country Hills Dr, Antioch, CA 94509 Phone: 925-608-8700 | |
Ms. Lakita Denise Long, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 915 W 4th St, Antioch, CA 94509 Phone: 925-238-8711 | |
Myesha Daniell Richardson, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2335 Country Hills Dr, Antioch, CA 94509 Phone: 925-608-8700 Fax: 925-608-8715 | |
Ms. Faith Ho, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3721 Sunset Ln Ste D, Antioch, CA 94509 Phone: 925-978-0208 | |
Eileen Hobson Brooks, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3501 Lone Tree Way Ste 200, Antioch, CA 94509 Phone: 925-427-8664 Fax: 925-427-8645 |