Kristina P Smith, | |
280 17th St, Oakland, CA 94612-4124 | |
(510) 514-5948 | |
Not Available |
Full Name | Kristina P Smith |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 280 17th St, Oakland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033731112 | NPI | - | NPPES |
13563 | Other | CA | CALIFORNIA BOARD OF BEHAVIORAL SCIENCES |
NLC.0108014 | Other | CO | DEPARTMENT OF REGULATORY AGENCY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | NLC.0108014 (Colorado) | Secondary |
101YP2500X | Counselor - Professional | 13563 (California) | Primary |
Entity Name | Telecare Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720164882 PECOS PAC ID: 6901820380 Enrollment ID: O20070614000167 |
Mailing Address | Practice Location Address |
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Kristina P Smith, 420 E 58th Ave Ste 210, Denver, CO 80216-1400 Ph: () - | Kristina P Smith, 280 17th St, Oakland, CA 94612-4124 Ph: (510) 514-5948 |
Mr. Macheo Kahil Payne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9736 Lawlor St, Oakland, CA 94605 Phone: 510-562-1052 | |
Michele Mabry Wilson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 30th St, #314, Oakland, CA 94609 Phone: 510-273-4200 | |
Ms. Shadavia France, Counselor Medicare: Medicare Enrolled Practice Location: 510 16th St, Oakland, CA 94612 Phone: 818-815-7180 | |
Mr. James Kaufman, MFT INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 560 Oakland Ave, Ste C, Oakland, CA 94611 Phone: 415-786-1537 Fax: 208-361-2286 | |
Savannah Rose O'neill, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10850 Macarthur Blvd, Oakland, CA 94605 Phone: 510-875-2300 Fax: 510-875-2310 | |
Miss Julianna Kristina Dragos, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 421 Fairmount Ave, Oakland, CA 94611 Phone: 510-839-3769 | |
Thuyminh Nguyen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 390 40th St, Oakland, CA 94609 Phone: 510-653-5040 Fax: 510-653-6475 |