Mrs Electra Unika Gentry, LCSW | |
200 Muir Rd, Martinez, CA 94553-4614 | |
(925) 313-4836 | |
Not Available |
Full Name | Mrs Electra Unika Gentry |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 200 Muir Rd, Martinez, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871642736 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 23257 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Mrs Electra Unika Gentry, LCSW 4971 Hollice Ct, Livermore, CA 94550-8509 Ph: (925) 606-5669 | Mrs Electra Unika Gentry, LCSW 200 Muir Rd, Martinez, CA 94553-4614 Ph: (925) 313-4836 |
Jennifer Jean Tuipulotu, Counselor Medicare: Not Enrolled in Medicare Practice Location: 202 Glacier Dr Fl 2, Martinez, CA 94553 Phone: 925-957-2755 Fax: 925-957-2746 | |
Mr. Claudio Figueroa, Counselor Medicare: Not Enrolled in Medicare Practice Location: 835 Castro St, Martinez, CA 94553 Phone: 925-646-1143 Fax: 925-646-1155 | |
Angelina Orduna, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1210 Alhambra Ave, Martinez, CA 94553 Phone: 925-228-4200 | |
Mr. Curtis Charles Jackson Iii, R.A.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 4645 Pacheco Blvd, Martinez, CA 94553 Phone: 925-646-9270 Fax: 925-646-9276 | |
Ronitte Politi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Ilene St, Martinez, CA 94553 Phone: 510-337-7950 | |
Neile Duginski, Counselor Medicare: Medicare Enrolled Practice Location: 1350 Arnold Dr Ste 102, Martinez, CA 94553 Phone: 925-266-6961 | |
Breanna Davaran, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Douglas Dr Ste 140, Martinez, CA 94553 Phone: 925-313-1159 Fax: 925-313-1142 |