Ms Jennifer A Green, PHD; MASTERS DEGREE | |
4920 Thorndike Ln, Dublin, CA 94568-4834 | |
(209) 701-8610 | |
Not Available |
Full Name | Ms Jennifer A Green |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 4920 Thorndike Ln, Dublin, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275754624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 13937 (California) | Primary |
Entity Name | Grow Healthcare Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
Mailing Address | Practice Location Address |
---|---|
Ms Jennifer A Green, PHD; MASTERS DEGREE 4920 Thorndike Ln, Dublin, CA 94568-4834 Ph: (209) 701-8610 | Ms Jennifer A Green, PHD; MASTERS DEGREE 4920 Thorndike Ln, Dublin, CA 94568-4834 Ph: (209) 701-8610 |
Laura Blackburn, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 8425 N Lake Dr, Apt F, Dublin, CA 94568 Phone: 847-636-1159 | |
Stuart Kosh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5325 Broder Blvd, Dublin, CA 94568 Phone: 209-843-0285 | |
Mrs. Cheryl Julie Chin, MFT Counselor Medicare: Medicare Enrolled Practice Location: 6990 Village Pkwy Ste 201, Dublin, CA 94568 Phone: 408-674-2694 | |
Christine Klein, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5325 Broder Blvd, Dublin, CA 94568 Phone: 925-803-7221 | |
Jacqueline Marie Fajardo, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 5601 Arnold Rd Ste 200, Dublin, CA 94568 Phone: 925-440-4593 | |
Jason Samuel Middleton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8555 Wicklow Ln, Dublin, CA 94568 Phone: 510-925-8779 Fax: 510-925-8779 |