Larissa A Lucas, | |
210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 | |
(626) 395-7100 | |
(626) 395-7100 |
Full Name | Larissa A Lucas |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 210 S De Lacey Ave Ste 110, Pasadena, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942642343 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | 93807 (California) | Primary |
Entity Name | Gunn Psychological Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669734604 PECOS PAC ID: 2163756032 Enrollment ID: O20190626002160 |
Mailing Address | Practice Location Address |
---|---|
Larissa A Lucas, 25556 Foxglove Ln, Corona, CA 92883-5452 Ph: (951) 295-5537 | Larissa A Lucas, 210 S De Lacey Ave Ste 110, Pasadena, CA 91105-2074 Ph: (626) 395-7100 |
Miss Lizeth Christine Fonseca, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3280 E Foothill Blvd, Pasadena, CA 91107 Phone: 626-583-3963 | |
Ms. Elisabeth Cavin Eilers, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 446 S Marengo Ave, Suite B, Pasadena, CA 91101 Phone: 626-375-8140 Fax: 626-403-9333 | |
Jennifer Beckwith, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 210 S De Lacey Ave, Pasadena, CA 91105 Phone: 626-395-7100 | |
Ms. Katherine Marie Flores, M.S. MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 350 S Lake Ave, Suite 284b, Pasadena, CA 91101 Phone: 626-689-0459 | |
Marni Muenzer, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 100 W Walnut St Ste 375, Pasadena, CA 91124 Phone: 626-395-7100 | |
Christian Hernandez, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 52 S Grand Oaks Ave, Pasadena, CA 91107 Phone: 323-420-1785 | |
Aurelie Anne Marie Zephir, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2750 E Washington Blvd, Pasadena, CA 91107 Phone: 626-296-8900 |