Julissa Sparks, LPCC, NCC | |
149 Pasadena Ave Ste A, South Pasadena, CA 91030-3351 | |
(323) 274-3065 | |
Not Available |
Full Name | Julissa Sparks |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 149 Pasadena Ave Ste A, South Pasadena, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437697539 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 2634 (California) | Secondary |
101YP2500X | Counselor - Professional | 7942 (California) | Primary |
Entity Name | Serene Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649809526 PECOS PAC ID: 0244652139 Enrollment ID: O20200623001361 |
Mailing Address | Practice Location Address |
---|---|
Julissa Sparks, LPCC, NCC 815 Colorado Blvd Ste 300, Los Angeles, CA 90041-1744 Ph: (323) 543-2800 | Julissa Sparks, LPCC, NCC 149 Pasadena Ave Ste A, South Pasadena, CA 91030-3351 Ph: (323) 274-3065 |
Vivian Johnson, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1654 Amberwood Dr Apt E, South Pasadena, CA 91030 Phone: 323-683-2518 | |
Lauren Mcaulay, APCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1499 Huntington Dr Ste 328, South Pasadena, CA 91030 Phone: 323-345-1402 | |
Alejandra Olmos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Pasadena Ave, South Pasadena, CA 91030 Phone: 323-344-5536 | |
Hilda M Saliba, MA Counselor Medicare: Medicare Enrolled Practice Location: 205 Pasadena Ave, South Pasadena, CA 91030 Phone: 323-344-5536 | |
Jeffrey Capps, Counselor Medicare: Medicare Enrolled Practice Location: 625 Fair Oaks Ave Ste 300, South Pasadena, CA 91030 Phone: 626-441-4221 | |
Juliana Lares Collaso, Counselor Medicare: Not Enrolled in Medicare Practice Location: 149 Pasadena Ave Ste A, South Pasadena, CA 91030 Phone: 323-274-3065 | |
Nareh Allahyari, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Pasadena Ave, South Pasadena, CA 91030 Phone: 323-344-5536 |