Ms Mary P Grossman, MFT | |
1664 Broadway, El Cajon, CA 92021-5201 | |
(619) 579-8685 | |
(619) 576-1969 |
Full Name | Ms Mary P Grossman |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1664 Broadway, El Cajon, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760556831 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MFC43788 (California) | Primary |
Entity Name | Community Research Foundation Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952328700 PECOS PAC ID: 6800825332 Enrollment ID: O20050804001256 |
Mailing Address | Practice Location Address |
---|---|
Ms Mary P Grossman, MFT 1664 Broadway, El Cajon, CA 92021-5201 Ph: (619) 579-8685 | Ms Mary P Grossman, MFT 1664 Broadway, El Cajon, CA 92021-5201 Ph: (619) 579-8685 |
Justyna M Sionek, Counselor Medicare: Not Enrolled in Medicare Practice Location: 395 Ballantyne St, #305, El Cajon, CA 92020 Phone: 619-588-3653 | |
Alejandro Valencia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1221 Emerald Ave, El Cajon, CA 92020 Phone: 619-593-4763 | |
Craig Spotser, Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 Roanoke Rd, El Cajon, CA 92020 Phone: 619-588-3653 | |
Olivia Kozarev, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 1252 Broadway Ste I, El Cajon, CA 92021 Phone: 619-375-1733 Fax: 619-684-6078 | |
Delane Yvonne Beaner, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 N Johnson Ave, El Cajon, CA 92020 Phone: 619-445-2027 | |
Baldivenia Perez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Broadway Ste 100, El Cajon, CA 92021 Phone: 619-401-5424 | |
Yasmin A Farah, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Broadway Ste 100, El Cajon, CA 92021 Phone: 619-401-5433 |