| Justin Surachai Tanyavutti, LPCC | |
|
1918 Bonita Ave, Berkeley, CA 94704 | |
| (703) 261-9973 | |
| Not Available |
| Full Name | Justin Surachai Tanyavutti |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1918 Bonita Ave, Berkeley, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538559166 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 178.010560 (Illinois) | Secondary |
| 101YP2500X | Counselor - Professional | LPCC6651 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Justin Surachai Tanyavutti, LPCC Po Box 2543, Berkeley, CA 94702-0543 Ph: (847) 422-3654 | Justin Surachai Tanyavutti, LPCC 1918 Bonita Ave, Berkeley, CA 94704 Ph: (703) 261-9973 |
Danee Lajoy Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3282 Adeline St, Berkeley, CA 94703 Phone: 510-981-5280 Fax: 510-981-5255 | |
Olivia Fadul, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Alvarado Pl, Berkeley, CA 94705 Phone: 256-527-8240 | |
Madeline Winard, AMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2484 Shattuck Ave Ste 210, Berkeley, CA 94704 Phone: 925-927-2000 | |
Mr. David Akullian, MFCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1543 Shattuck Ave, Suite 102, Berkeley, CA 94709 Phone: 510-848-4203 Fax: 510-848-4203 | |
Mr. David Bowman Volker, APCC, MA, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 185 Avenida Dr, Berkeley, CA 94708 Phone: 510-710-8029 | |
Franziska Gehrmann, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1521 University Ave, Berkeley, CA 94703 Phone: 510-502-1602 | |
Karin Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2323 Hearst Ave, Berkeley, CA 94709 Phone: 510-548-7270 Fax: 510-665-3176 |