Mr Keith David Attardo, MS, MFT | |
4132 Katella Ave Ste 104, Los Alamitos, CA 90720-3493 | |
(562) 234-4194 | |
Not Available |
Full Name | Mr Keith David Attardo |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 4132 Katella Ave Ste 104, Los Alamitos, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003049560 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | MFC44200 (California) | Primary |
Entity Name | Grace Counseling Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245411461 PECOS PAC ID: 8921444332 Enrollment ID: O20240307002969 |
Mailing Address | Practice Location Address |
---|---|
Mr Keith David Attardo, MS, MFT 4132 Katella Ave Ste 104, Los Alamitos, CA 90720-3493 Ph: (562) 234-4194 | Mr Keith David Attardo, MS, MFT 4132 Katella Ave Ste 104, Los Alamitos, CA 90720-3493 Ph: (562) 234-4194 |
David Nima Dabiri, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4281 Katella Ave Ste 117, Los Alamitos, CA 90720 Phone: 562-596-0050 Fax: 562-596-0058 | |
Amanda O'neal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3662 Katella Ave Ste 115, Los Alamitos, CA 90720 Phone: 714-795-4692 | |
James Walsh Doyle, CADC-II T Counselor Medicare: Not Enrolled in Medicare Practice Location: 4388 Katella Ave, Los Alamitos, CA 90720 Phone: 562-594-8844 | |
Jasmine Richardson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4388 Katella Ave, Los Alamitos, CA 90720 Phone: 562-594-8844 Fax: 562-594-8844 | |
Corinne Stamm, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4388 Katella Ave, Los Alamitos, CA 90720 Phone: 562-596-0050 Fax: 562-596-0058 | |
Rebecca Michelle Harvey, RADTI Counselor Medicare: Not Enrolled in Medicare Practice Location: 4388 Katella Ave, Los Alamitos, CA 90720 Phone: 562-594-8844 |