Ms Krystal Danielle Hogan, | |
1660 E Roseville Pkwy, Roseville, CA 95661-3988 | |
(916) 973-5300 | |
Not Available |
Full Name | Ms Krystal Danielle Hogan |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 1660 E Roseville Pkwy, Roseville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821534389 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | 131495 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
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 Krystal Danielle Hogan, 768 Pleasant Valley Rd, Diamond Springs, CA 95619-9260 Ph: (530) 621-6290 | Ms Krystal Danielle Hogan, 1660 E Roseville Pkwy, Roseville, CA 95661-3988 Ph: (916) 973-5300 |
Rheana Patterson, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1430 Blue Oaks Blvd Ste 200, Roseville, CA 95747 Phone: 916-685-6833 | |
Ms. Mell Elaine La Valley, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 416 Bonita St, Roseville, CA 95678 Phone: 916-719-2520 | |
Mr. Talal H Alsaleem, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 915 Highland Pointe Dr, Suite 250, Roseville, CA 95678 Phone: 916-779-9939 | |
Mr. Gavin John Williams, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1700 Eureka Rd Ste 155, Roseville, CA 95661 Phone: 916-995-2963 Fax: 916-848-0517 | |
Hailey Palos, AMFT, APCC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5098 Foothills Blvd # 3-134, Roseville, CA 95747 Phone: 916-272-5025 | |
Courtney Mickles, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2200 Douglas Blvd Ste 140b, Roseville, CA 95661 Phone: 720-272-7848 | |
Naquiela Buckner I, CMA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1780 Vernon St, Roseville, CA 95678 Phone: 916-782-1111 |