Marie Isabel Fazzone, LMFT | |
1600 Weeot Way, Arcata, CA 95521-4734 | |
(707) 825-5060 | |
(707) 825-6747 |
Full Name | Marie Isabel Fazzone |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 1600 Weeot Way, Arcata, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992026876 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | 120045 (California) | Secondary |
106H00000X | Marriage & Family Therapist | 120045 (California) | Primary |
Entity Name | United Indian Health Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497751572 PECOS PAC ID: 9830085075 Enrollment ID: O20040225000459 |
Mailing Address | Practice Location Address |
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Marie Isabel Fazzone, LMFT Po Box 2077, Ukiah, CA 95482-2077 Ph: (707) 467-2010 | Marie Isabel Fazzone, LMFT 1600 Weeot Way, Arcata, CA 95521-4734 Ph: (707) 825-5060 |
Jodi Smith, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 645 7th St, Arcata, CA 95521 Phone: 707-654-6280 | |
Janiel Vebeke Giraldo, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1 Harpst St, Arcata, CA 95521 Phone: 707-826-3236 | |
Vanessa Marnewecke, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1085 I St Ste 203, Arcata, CA 95521 Phone: 707-600-3720 | |
Mary Susanne Blanco, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 739 10th St, Arcata, CA 95521 Phone: 707-719-9194 | |
Jean Noble, JEAN NOBLE MFT ATRBC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 920 Samoa Blvd, Suite 217, Arcata, CA 95521 Phone: 707-825-1772 | |
Ms. Stephanie Haley, M.A., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 645 7th St, Arcata, CA 95521 Phone: 707-633-9039 | |
Ms. Michele Lee Rogers, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 822 G St Ste 12, Arcata, CA 95521 Phone: 707-498-6897 |