Mrs Patrice E Agredano, | |
212 I St, Davis, CA 95616-4213 | |
(530) 601-5959 | |
(916) 287-4679 |
Full Name | Mrs Patrice E Agredano |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 212 I St, Davis, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053504472 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 102263 (California) | Primary |
Entity Name | Lumen Health And Psychological Services Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366978843 PECOS PAC ID: 5799012266 Enrollment ID: O20190806002444 |
Mailing Address | Practice Location Address |
---|---|
Mrs Patrice E Agredano, 1451 Rocky Ridge Dr Apt 1109, Roseville, CA 95661-3007 Ph: (916) 320-2503 | Mrs Patrice E Agredano, 212 I St, Davis, CA 95616-4213 Ph: (530) 601-5959 |
Jo Hatcher, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2056 Lyndell Ter, Suite 150, Davis, CA 95616 Phone: 530-759-0477 | |
Aarti Subramaniam, PHD Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 133 D St Ste F, Davis, CA 95616 Phone: 530-341-8180 | |
Judy Moore, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2100 5th St, Davis, CA 95618 Phone: 530-747-3400 Fax: 530-753-0398 | |
Kathryn A Spector, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2050 Lyndell Terr, Ste 130, Davis, CA 95616 Phone: 530-759-1929 Fax: 530-759-1929 | |
Sara Lindsey, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 105 E St, Suite 2h, Davis, CA 95616 Phone: 530-758-1861 | |
Monica Marie Garcia Obrien, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 621 4th St, Davis, CA 95616 Phone: 530-771-7884 |