| Jessie Tivao, | |
|
1045 W Redondo Beach Blvd Fl 3, Gardena, CA 90247-4128 | |
| (310) 970-5000 | |
| (323) 967-0614 |
| Full Name | Jessie Tivao |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 1045 W Redondo Beach Blvd Fl 3, Gardena, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144645649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | ASW111726 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jessie Tivao, 1045 W Redondo Blvd 3rd Floor, Gardena, CA 90247 Ph: (310) 970-5000 | Jessie Tivao, 1045 W Redondo Beach Blvd Fl 3, Gardena, CA 90247-4128 Ph: (310) 970-5000 |
Jessie Jr. N/a Galloway, N/A Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020 | |
Ronald Fernandes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020 | |
Dr. Natasha Montez Shaw-clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020 Fax: 310-715-6600 | |
Mr. Jeneal Edward Durr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1214 W 146th St, Gardena, CA 90247 Phone: 310-774-7309 | |
Ms. Stacy N Menziess, CASE MANAGER Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 W Redondo Beach Blvd, Suite 204, Gardena, CA 90248 Phone: 310-352-6422 Fax: 310-352-6480 | |
Ms. Celia Marie Aragon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15519 Crenshaw Blvd, Gardena, CA 90249 Phone: 310-679-9126 Fax: 310-679-2920 | |
Cherise Stephens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15519 Crenshaw Blvd, Gardena, CA 90249 Phone: 310-679-9126 |