Antonio Martin Aceves Santiago, | |
5300 W Tulare Ave, Visalia, CA 93277-3700 | |
(805) 351-2787 | |
Not Available |
Full Name | Antonio Martin Aceves Santiago |
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Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 5300 W Tulare Ave, Visalia, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861169237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 143264 (California) | Primary |
Entity Name | Grow Healthcare Group Pc |
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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 |
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Antonio Martin Aceves Santiago, Po Box 2271, Tulare, CA 93275-2271 Ph: (559) 350-0227 | Antonio Martin Aceves Santiago, 5300 W Tulare Ave, Visalia, CA 93277-3700 Ph: (805) 351-2787 |
Roxanne Sanford, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4034 S Demaree St, Visalia, CA 93277 Phone: 559-738-0700 Fax: 559-738-0700 | |
Kyra Zimmerman, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3055 N Memory St, Visalia, CA 93291 Phone: 559-760-2670 | |
Leticia M. Lopez, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 711 N Court St, Visalia, CA 93291 Phone: 559-627-1490 | |
Mishel Cowart, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4150 S Demaree St, Suite C, Visalia, CA 93277 Phone: 559-359-1943 | |
Jacquelyn Nicole Jones, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6520 S Mooney Blvd, Visalia, CA 93277 Phone: 559-623-0331 Fax: 559-687-6459 | |
Jamaine Leverett, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4034 S Demaree St, Visalia, CA 93277 Phone: 559-738-0700 Fax: 559-738-0710 | |
Raymond Wesley Buchanan, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1830 S Central St, Visalia, CA 93277 Phone: 559-730-2969 Fax: 559-730-2991 |