Kathleen Citrenbaum, LCSW | |
308 W Line St, Suite #4, Bishop, CA 93514-3438 | |
(760) 872-4315 | |
Not Available |
Full Name | Kathleen Citrenbaum |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 308 W Line St, Bishop, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457490047 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LCS 15475 (California) | Primary |
Entity Name | Clinicas Del Camino Real Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679631907 PECOS PAC ID: 3173434396 Enrollment ID: O20040205001238 |
Mailing Address | Practice Location Address |
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Kathleen Citrenbaum, LCSW Po Box 521, Bishop, CA 93515-0521 Ph: (760) 872-4315 | Kathleen Citrenbaum, LCSW 308 W Line St, Suite #4, Bishop, CA 93514-3438 Ph: (760) 872-4315 |
Karen Planchon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 162 Grove St Ste J, Bishop, CA 93514 Phone: 760-873-6533 Fax: 760-872-3277 | |
Ms. Katharine Paquette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1360 N Main St Ste 124, Bishop, CA 93514 Phone: 760-872-2590 Fax: 760-873-3277 | |
Mr. Mark Joseph Kalin, Counselor Medicare: Medicare Enrolled Practice Location: 162j Grove St, Bishop, CA 93514 Phone: 760-873-6533 | |
Noni Marie Steedle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 162 Grove St Ste J, Bishop, CA 93514 Phone: 760-873-6533 Fax: 760-873-3277 | |
Paula Jean Friedrichsen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 162j Grove St, Bishop, CA 93514 Phone: 760-873-5888 | |
Peter Charley Sr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 162 Grove St Ste J, Bishop, CA 93514 Phone: 760-873-6533 Fax: 760-873-3277 | |
Perla Vea Gastelum, Counselor Medicare: Medicare Enrolled Practice Location: 1360 N Main St, Bishop, CA 93514 Phone: 760-873-6533 Fax: 760-873-3277 |