Lyssia Porter, | |
941 Orange Ave Unit 5001, Coronado, CA 92118-2609 | |
(925) 800-3688 | |
Not Available |
Full Name | Lyssia Porter |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 941 Orange Ave Unit 5001, Coronado, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386367076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | 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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Lyssia Porter, 941 Orange Ave Unit 5001, Coronado, CA 92118-2609 Ph: () - | Lyssia Porter, 941 Orange Ave Unit 5001, Coronado, CA 92118-2609 Ph: (925) 800-3688 |
Ann-marie Avanni, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 520 E Ave, Coronado, CA 92118 Phone: 619-781-0181 | |
Ms. Lucinda Ann Ribant, M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 138 B Avenue, Coronado, CA 92118 Phone: 619-437-7200 | |
Ms. Carole A Doherty, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1052 Isabella Ave, Coronado, CA 92118 Phone: 619-972-8511 | |
Cory Stege, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1330 Orange Ave Ste 312, Coronado, CA 92118 Phone: 619-432-6892 | |
Kathleen A Reid, M.S., M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 138 B Ave, Coronado, CA 92118 Phone: 619-435-4388 Fax: 619-435-2993 | |
Ms. Shelby Leah Teeter, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1517 2nd St Apt B210, Coronado, CA 92118 Phone: 310-415-7133 | |
Darryl William Butson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 549 Orange Ave, Coronado, CA 92118 Phone: 619-996-3195 Fax: 619-996-3196 |