| Mr Jack Roy Bohanon, MFT | |
|
703 Welch Rd, Ste. F6, Palo Alto, CA 94304-1710 | |
| (650) 599-2262 | |
| (650) 625-1551 |
| Full Name | Mr Jack Roy Bohanon |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 703 Welch Rd, Palo Alto, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508947706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MFC29822 (California) | Primary |
| 106H00000X | Marriage & Family Therapist | MFC29822 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jack Roy Bohanon, MFT 123 Gladys Ave, Mountain View, CA 94043-3967 Ph: (650) 599-2262 | Mr Jack Roy Bohanon, MFT 703 Welch Rd, Ste. F6, Palo Alto, CA 94304-1710 Ph: (650) 599-2262 |
Carina Schlanger, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 555 Middlefield Rd, Palo Alto, CA 94301 Phone: 650-323-5457 Fax: 650-323-5457 | |
Ms. Nina Marie Poletika, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 375 Cambridge Ave, Palo Alto, CA 94306 Phone: 650-326-6576 Fax: 650-326-1340 | |
Ms. Lori Helen Gortner, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4153 El Camino Way Ste A, Palo Alto, CA 94306 Phone: 650-493-4932 | |
Ms. Margaret Ann Rogers, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4153 El Camino Way Ste A, Palo Alto, CA 94306 Phone: 650-493-4932 | |
Ms. Diane Karen Robson-boris, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2060 Cornell St, Palo Alto, CA 94306 Phone: 650-561-3955 | |
Mrs. Priscilla Ann Surdam, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 200 Channing Ave, Palo Alto, CA 94301 Phone: 650-688-3076 | |
Ms. Cate Nelson, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 550 Hamilton Ave, Suite 210, Palo Alto, CA 94301 Phone: 650-324-1109 |