Kellyn Ashton Lakhardt, | |
584 Castro St, 107, San Francisco, CA 94114-2512 | |
(415) 948-7472 | |
Not Available |
Full Name | Kellyn Ashton Lakhardt |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 584 Castro St, San Francisco, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023202884 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | 50233 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Kellyn Ashton Lakhardt, 584 Castro St, 107, San Francisco, CA 94114-2512 Ph: (415) 948-7472 | Kellyn Ashton Lakhardt, 584 Castro St, 107, San Francisco, CA 94114-2512 Ph: (415) 948-7472 |
Robyn Alagona, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 295 Fell St, Suite B, San Francisco, CA 94102 Phone: 415-419-2406 | |
Ms. Darla Wolgast Romano, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 121 Clement St, San Francisco, CA 94118 Phone: 415-752-6775 Fax: 415-668-5309 | |
Christopher Boyd, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1735 Mission St, San Francisco, CA 94103 Phone: 415-762-3700 Fax: 415-746-1941 | |
Paula Victoria Cordova, MFT INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 250 Executive Park Blvd, Suite 4900, San Francisco, CA 94134 Phone: 415-656-0116 | |
Erin Hennessy, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1550 Treat Ave, San Francisco, CA 94110 Phone: 415-641-8000 Fax: 415-641-8002 | |
Joseph Charles Campi, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4237 Geary Blvd, San Francisco, CA 94118 Phone: 415-494-9835 | |
Ashley Howard, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 536 Leavenworth St Apt 86, San Francisco, CA 94109 Phone: 617-833-5675 |