Ms Kristin Leigh Koehler, | |
916 Mchenry Ave, Modesto, CA 95350-5417 | |
(209) 550-5865 | |
(209) 544-0487 |
Full Name | Ms Kristin Leigh Koehler |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 916 Mchenry Ave, Modesto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598800906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (California) | Secondary |
101YP2500X | Counselor - Professional | 126284 (California) | Primary |
Entity Name | Grow Healthcare Group Pc |
---|---|
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 Kristin Leigh Koehler, 916 Mchenry Ave, Modesto, CA 95350-5417 Ph: (209) 550-5865 | Ms Kristin Leigh Koehler, 916 Mchenry Ave, Modesto, CA 95350-5417 Ph: (209) 550-5865 |
Amber Nicole Allred, IMF Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 K St, Modesto, CA 95354 Phone: 209-550-5869 | |
Virginia A. Horton, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2020 Coffee Road, Suite H-4, Modesto, CA 95355 Phone: 209-613-4255 Fax: 209-567-1015 | |
Natalie Rahe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Coffee Rd, Modesto, CA 95355 Phone: 209-554-6808 | |
Crystal A Gonzalez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Downey Ave, Modesto, CA 95354 Phone: 209-341-1824 | |
Nereida Lomeli, MFT-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Tully Rd, Ste F, Modesto, CA 95350 Phone: 209-576-1750 Fax: 209-576-1768 | |
Cynthia Marie Mccleary, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1620 Cummins Dr, Modesto, CA 95358 Phone: 209-622-1420 | |
Mrs. Latisha Hale, Counselor Medicare: Not Enrolled in Medicare Practice Location: 916 Mchenry Ave, Modesto, CA 95350 Phone: 209-550-5850 Fax: 209-544-0487 |