Ms Glenda Susan Dillingham, MA | |
3805 Taylor Rd Ste 1, Loomis, CA 95650-9271 | |
(916) 652-7470 | |
(916) 652-7065 |
Full Name | Ms Glenda Susan Dillingham |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 3805 Taylor Rd Ste 1, Loomis, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1164457420 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MFC36517 (California) | Primary |
Entity Name | Dhhs Phs Ihs Phoenix Area |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265719918 PECOS PAC ID: 2668647108 Enrollment ID: O20111212000142 |
Mailing Address | Practice Location Address |
---|---|
Ms Glenda Susan Dillingham, MA 3805 Taylor Rd Ste 1, Loomis, CA 95650-9271 Ph: (916) 652-7470 | Ms Glenda Susan Dillingham, MA 3805 Taylor Rd Ste 1, Loomis, CA 95650-9271 Ph: (916) 652-7470 |
Maris Loeffler, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3875 Taylor Rd Ste 200g, Loomis, CA 95650 Phone: 530-401-2078 Fax: 530-401-2078 | |
Mrs. Suzanna Osuna Aissa, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3525 S Colvin Dr, Loomis, CA 95650 Phone: 619-888-9482 | |
Mr. William J Ryland, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5980 Webb Street, Loomis, CA 95650 Phone: 916-652-0171 | |
Kathryn Taylor Porter Buchan, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5980 Webb St, Loomis, CA 95650 Phone: 916-652-0171 | |
Ms. Marian Kaye Johnson, APCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3580 Shallow Creek Road, Loomis, CA 95650 Phone: 916-652-0516 Fax: 916-652-3979 | |
Banetta Bacchi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3725 Taylor Rd, Loomis, CA 95650 Phone: 916-652-5814 |