Kristen K Tachiki, LCSW | |
15014 Denley St, Hacienda Heights, CA 91745-2010 | |
(626) 384-9756 | |
Not Available |
Full Name | Kristen K Tachiki |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 15014 Denley St, Hacienda Heights, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194472654 | NPI | - | NPPES |
LCSW99264 | Other | BBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 99264 (California) | Primary |
Entity Name | Grow Healthcare Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
Mailing Address | Practice Location Address |
---|---|
Kristen K Tachiki, LCSW 15014 Denley St, Hacienda Heights, CA 91745-2010 Ph: (626) 384-9756 | Kristen K Tachiki, LCSW 15014 Denley St, Hacienda Heights, CA 91745-2010 Ph: (626) 384-9756 |
Lupe Zermeno, CAADE Counselor Medicare: Not Enrolled in Medicare Practice Location: 2034 Kwis Ave, Hacienda Heights, CA 91745 Phone: 626-400-9278 | |
Ms. Stephanie Gomez, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1002 Finegrove Ave, Hacienda Heights, CA 91745 Phone: 626-803-2466 | |
Ms. Tomoko Bowling, LMFT, LPCC, CAMS-II Counselor Medicare: Not Enrolled in Medicare Practice Location: 2211 S Hacienda Blvd Ste 203d, Hacienda Heights, CA 91745 Phone: 909-646-0739 | |
Ms. Catherine Lee, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1504 Folkstone Ave, Hacienda Heights, CA 91745 Phone: 626-826-0619 | |
Richard Anthony Carranza Ii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 931 Galemont Ave, Hacienda Heights, CA 91745 Phone: 626-833-5634 |