| Madedeh Alfogbanah, | |
|
1516 Wase Madison Street, Petaluma, CA 94954 | |
| (707) 541-9926 | |
| Not Available |
| Full Name | Madedeh Alfogbanah |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1516 Wase Madison Street, Petaluma, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164573135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Madedeh Alfogbanah, 1516 E Madison St, Petaluma, CA 94954-2319 Ph: () - | Madedeh Alfogbanah, 1516 Wase Madison Street, Petaluma, CA 94954 Ph: (707) 541-9926 |
Kelsey Gielen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 365 Kuck Ln, Petaluma, CA 94952 Phone: 707-795-6954 | |
Kati Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3539 Skillman Ln, Petaluma, CA 94952 Phone: 707-765-6555 | |
Kaitlyn D Henris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5350 Old Redwood Hwy, Suite 600, Petaluma, CA 94954 Phone: 707-565-1270 | |
Gary Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3539 Skillman Ln, Petaluma, CA 94952 Phone: 707-765-6555 | |
Erin Ellen Ahern, CAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1355 Industrial Ave, Petaluma, CA 94952 Phone: 707-776-4670 Fax: 707-544-9011 | |
Kyle Lew, Counselor Medicare: Not Enrolled in Medicare Practice Location: 365 Kuck Ln, Petaluma, CA 94952 Phone: 707-795-6954 | |
Stephen Donnellan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 365 Kuck Ln, Petaluma, CA 94952 Phone: 707-795-6954 |