Mr Randall Leo Burden, LMFT | |
10662 Maple Ave, Hesperia, CA 92345-2436 | |
(909) 816-3327 | |
(909) 920-4206 |
Full Name | Mr Randall Leo Burden |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 10662 Maple Ave, Hesperia, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184886756 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | MFCC 34409 (California) | Secondary |
106H00000X | Marriage & Family Therapist | MFCC 34409 (California) | Primary |
Entity Name | Center For New Directions, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578121190 PECOS PAC ID: 9335475870 Enrollment ID: O20190722003529 |
Mailing Address | Practice Location Address |
---|---|
Mr Randall Leo Burden, LMFT 10662 Maple Ave, Hesperia, CA 92345-2436 Ph: (909) 816-3327 | Mr Randall Leo Burden, LMFT 10662 Maple Ave, Hesperia, CA 92345-2436 Ph: (909) 816-3327 |
Pam S Hart, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17096 Sequoia Ave, Ste. 112, Hesperia, CA 92345 Phone: 760-949-9952 Fax: 760-952-9933 | |
Frederick M Blum, MFT, PHD. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 16955 Lemon St, Hesperia, CA 92345 Phone: 760-947-8223 Fax: 760-947-8225 | |
Mrs. Trinidad Ojeda, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17130 Sequoia St Ste 103, Hesperia, CA 92345 Phone: 760-949-1939 | |
Shelley Holman, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 16279 Walnut St, Hesperia, CA 92345 Phone: 760-947-0070 | |
Woo Ree Olsen, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 18125 Catalpa St, Hesperia, CA 92345 Phone: 501-472-7444 | |
Melissa Marcelle Harris, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11776 Mariposa Rd, Hesperia, CA 92345 Phone: 760-956-2462 | |
Jeffrey Webber, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11951 Hesperia Rd, Hesperia, CA 92345 Phone: 760-956-2345 |