Malik-hakim Kadir, LPC | |
401 Laurel Ave, C 5, Pinole, CA 94564-1965 | |
(602) 617-1536 | |
(510) 231-8456 |
Full Name | Malik-hakim Kadir |
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Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 401 Laurel Ave, Pinole, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558767186 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 156031 IV (California) | Primary |
Entity Name | Lifeline Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265160451 PECOS PAC ID: 3678948577 Enrollment ID: O20231019002503 |
Mailing Address | Practice Location Address |
---|---|
Malik-hakim Kadir, LPC 29351 St Andrews, Lake Elsinore, CA 92530-4374 Ph: (949) 491-3795 | Malik-hakim Kadir, LPC 401 Laurel Ave, C 5, Pinole, CA 94564-1965 Ph: (602) 617-1536 |
Patricia Anne Dorato, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2501 Samuel St, Pinole, CA 94564 Phone: 510-724-3458 | |
Ms. Naheed Shah Sheikh, M.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 668 Quinan St, Pinole, CA 94564 Phone: 510-741-7286 | |
Desiree Camilia Scott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1556 Fitzgerald Dr # 222, Pinole, CA 94564 Phone: 415-254-6647 | |
Dr. Rachel Ann Ruderman, PSY. D. Counselor Medicare: Medicare Enrolled Practice Location: 668 Quinan St, #100, Pinole, CA 94564 Phone: 510-414-9426 Fax: 510-295-2595 | |
Mr. Jonathan Daniel Lichtenstein, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 668 Quinan St, Pinole, CA 94564 Phone: 510-741-8642 | |
Deanna L Mayfield, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1130 Kildare Way, Pinole, CA 94564 Phone: 510-221-8597 | |
Bronwyn Kay Jackson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 716 Marlesta Rd, Pinole, CA 94564 Phone: 510-575-3648 |