Ms Bonnie K Doughty, MFT | |
251 Lafayette Cir, Suite 150, Lafayette, CA 94549-4342 | |
(925) 284-5200 | |
Not Available |
Full Name | Ms Bonnie K Doughty |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 251 Lafayette Cir, Lafayette, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073790036 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 42515 (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 |
---|---|
Ms Bonnie K Doughty, MFT Po Box 2255, Orinda, CA 94563-6655 Ph: (510) 306-7196 | Ms Bonnie K Doughty, MFT 251 Lafayette Cir, Suite 150, Lafayette, CA 94549-4342 Ph: (925) 284-5200 |
Nick Orsi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3470 Mt Diablo Blvd, Suite A200, Lafayette, CA 94549 Phone: 925-297-5440 | |
Nicolle Danielle Tissot - Desmarais, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3468 Mt Diablo Blvd Ste B301, Lafayette, CA 94549 Phone: 925-297-5442 | |
Mr. Wayne Douglas Adriance, MFTI Counselor Medicare: Not Enrolled in Medicare Practice Location: 3184 Old Tunnel Road, Lafayette, CA 94549 Phone: 831-239-4606 Fax: 831-239-4606 | |
Mrs. Mary Elizabeth Crago, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3255 Mt Diablo Ct Apt 201, Lafayette, CA 94549 Phone: 925-385-0172 | |
Melanie Yadegar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1189 Upper Happy Valley Rd, Lafayette, CA 94549 Phone: 415-290-6244 | |
Mrs. Brigitte Lourie Fisher, M.F.T., L.E.P. Counselor Medicare: Not Enrolled in Medicare Practice Location: 919 Village Ctr Ste 6, Lafayette, CA 94549 Phone: 925-284-1611 Fax: 510-420-1459 |