Sebastian Shields, AMFT | |
1777 Buckman Springs Rd, Campo, CA 91906-2022 | |
(619) 478-5696 | |
Not Available |
Full Name | Sebastian Shields |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 1777 Buckman Springs Rd, Campo, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1558895342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 98967 (California) | Primary |
Entity Name | Centro De Salud De La Comunidad De San Ysidro, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124782685 PECOS PAC ID: 6901709435 Enrollment ID: O20040130000711 |
Mailing Address | Practice Location Address |
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Sebastian Shields, AMFT 1777 Buckman Springs Rd, Campo, CA 91906-2022 Ph: (619) 478-5696 | Sebastian Shields, AMFT 1777 Buckman Springs Rd, Campo, CA 91906-2022 Ph: (619) 478-5696 |
Sandra Estela Alarcon, IMF Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1326 Buckwheat Trl, Campo, CA 91906 Phone: 619-674-2465 | |
Mrs. Jodene Cuero, LMFT 102333 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 36650 Highway 94, Campo, CA 91906 Phone: 619-486-7385 | |
Joshua Knutson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 976 Sheridan Rd, Campo, CA 91906 Phone: 619-445-6200 |