Mrs Larisa Ivanovna Escalante, LMFT - Counselor in West Sacramento, CA

Mrs Larisa Ivanovna Escalante, LMFT is a Counselor - Mental Health based in West Sacramento, California. Mrs Larisa Ivanovna Escalante is licensed to practice in California (license number 8105) and her current practice location is 3960 Industrial Blvd Ste 200, West Sacramento, California. She can be reached at her office (for appointments etc.) via phone at (916) 752-8965.

NPI number for Mrs Larisa Ivanovna Escalante is 1295341121 and her current mailing address is Po Box 1554, Elk Grove, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1295341121.

Contact Information

Mrs Larisa Ivanovna Escalante, LMFT
3960 Industrial Blvd Ste 200,
West Sacramento, CA 95691-5024
(916) 752-8965
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameMrs Larisa Ivanovna Escalante
GenderFemale
SpecialityCounselor - Mental Health
Location3960 Industrial Blvd Ste 200, West Sacramento, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1295341121
  • Provider Enumeration Date: 09/16/2020
  • Last Update Date: 07/21/2023

Medical Identifiers

Medical identifiers for Mrs Larisa Ivanovna Escalante such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295341121NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 140018 (California)Secondary
101YM0800XCounselor - Mental Health 8105 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Larisa Ivanovna Escalante is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Larisa Ivanovna Escalante, LMFT
Po Box 1554,
Elk Grove, CA 95759-1554

Ph: (916) 896-2768
Mrs Larisa Ivanovna Escalante, LMFT
3960 Industrial Blvd Ste 200,
West Sacramento, CA 95691-5024

Ph: (916) 752-8965

Reviews and Comments


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