Bao Vang, | |
3360 N Highway 59 Ste G, Merced, CA 95348-9405 | |
(209) 725-2125 | |
Not Available |
Full Name | Bao Vang |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 3360 N Highway 59 Ste G, Merced, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740650415 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 122799 (California) | Secondary |
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Jefferson Center For Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154403798 PECOS PAC ID: 9032018882 Enrollment ID: O20031231000357 |
Mailing Address | Practice Location Address |
---|---|
Bao Vang, 2680 Peppertree Dr, Merced, CA 95348-3799 Ph: (209) 777-6402 | Bao Vang, 3360 N Highway 59 Ste G, Merced, CA 95348-9405 Ph: (209) 725-2125 |
Wendela Marsh, MA, BCBA, LEP Counselor Medicare: Not Enrolled in Medicare Practice Location: 955 Wake Forest Ct, Merced, CA 95348 Phone: 209-489-0056 | |
Scott Donaldson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 627 W Main St, Merced, CA 95340 Phone: 209-723-6559 | |
Pamela Short, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 E 13th St, Merced, CA 95341 Phone: 209-381-6840 | |
Merlyn Perez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1343 W Main St Ste A&b, Merced, CA 95340 Phone: 209-725-1064 | |
Alexandra Estelle Linan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1343 W Main St, Merced, CA 95340 Phone: 209-725-1060 | |
Patricia Rocha Ponceano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 480 E 13th St, Merced, CA 95341 Phone: 209-381-6800 | |
Rosa Delia Carmona Gomez, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 480 E 13th St, Merced, CA 95341 Phone: 209-381-6800 |