Mary Lightholder, | |
500 Davis St, San Leandro, CA 94577-2757 | |
(510) 618-6428 | |
Not Available |
Full Name | Mary Lightholder |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 500 Davis St, San Leandro, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003068966 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | County Of Santa Clara |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659450955 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000757 |
Entity Name | County Of Santa Clara |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699885079 PECOS PAC ID: 1254244973 Enrollment ID: O20040113000784 |
Entity Name | County Of Santa Clara |
---|---|
Entity Type | Part B Supplier - Other Medical Care Group |
Entity Identifiers | NPI Number: 1629301346 PECOS PAC ID: 1254244973 Enrollment ID: O20110318000170 |
Mailing Address | Practice Location Address |
---|---|
Mary Lightholder, 41225 Apricot Ln, Fremont, CA 94539-4501 Ph: (510) 618-6428 | Mary Lightholder, 500 Davis St, San Leandro, CA 94577-2757 Ph: (510) 618-6428 |
Anusheh N Warda, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-481-1222 Fax: 510-481-1605 | |
Justin Reid, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15942 Foothill Blvd, San Leandro, CA 94578 Phone: 510-317-1444 | |
Rashida Bremner Onwuka, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-317-1444 | |
Meredith Johnston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-317-1444 | |
Claudia Figueroa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-317-1437 | |
Jacquelyn Owens, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2275 Arlington Dr, San Leandro, CA 94578 Phone: 510-317-1444 |