William Warren Beacom, LCSW | |
288 Santa Isabel Ave, Costa Mesa, CA 92627-6511 | |
(949) 584-6320 | |
Not Available |
Full Name | William Warren Beacom |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 288 Santa Isabel Ave, Costa Mesa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568894962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LCS17313 (California) | Primary |
Entity Name | Hurtt Family Health Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306965587 PECOS PAC ID: 4183764814 Enrollment ID: O20110203000426 |
Mailing Address | Practice Location Address |
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William Warren Beacom, LCSW 1 Hope Dr, Tustin, CA 92782-0221 Ph: (949) 584-6320 | William Warren Beacom, LCSW 288 Santa Isabel Ave, Costa Mesa, CA 92627-6511 Ph: (949) 584-6320 |
Nicole Riana White, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 275 Baker St E, Suite A, Costa Mesa, CA 92626 Phone: 714-361-6760 | |
Claudio Nunez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2165 Harbor Blvd, Costa Mesa, CA 92627 Phone: 714-912-3091 | |
Kristen Lowen Howerton, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2535 Greenbriar Ln, Costa Mesa, CA 92626 Phone: 949-933-5747 | |
Dalila Perea, Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Fair Dr, Costa Mesa, CA 92626 Phone: 714-474-6482 | |
Mr. James Terry Callier Iii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3188 Airway Ave Ste F, Costa Mesa, CA 92626 Phone: 714-689-1380 Fax: 714-689-1381 | |
Amy Cusumano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3151 Airway Ave, D-1, Costa Mesa, CA 92626 Phone: 714-957-8229 | |
Shaneska Frederique, Counselor Medicare: Not Enrolled in Medicare Practice Location: 275 Baker St, Costa Mesa, CA 92626 Phone: 714-361-6760 |