Betty Avery, MFT | |
689 N Beechwood Ave, Rialto, CA 92376-4703 | |
(909) 990-5438 | |
Not Available |
Full Name | Betty Avery |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 689 N Beechwood Ave, Rialto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1417489733 | NPI | - | NPPES |
90-0996079 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 83124 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
---|---|
Betty Avery, MFT 689 N Beechwood Ave, Rialto, CA 92376-4703 Ph: (909) 990-5438 | Betty Avery, MFT 689 N Beechwood Ave, Rialto, CA 92376-4703 Ph: (909) 990-5438 |
Rose Versace, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-421-9475 Fax: 909-421-9392 | |
Mrs. Linda Josephine Hedges, M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-421-9470 Fax: 909-873-4461 | |
Mrs. Cheryl Placide, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-421-9444 | |
Luisa Limon, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 850 E. Foothill Ave., Rialto, CA 92376 Phone: 909-421-9470 Fax: 909-421-9390 | |
Jeanine Jessica Gloria, AMFT, APCC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1850 N Riverside Ave Ste 180, Rialto, CA 92376 Phone: 909-379-4406 Fax: 909-440-5138 | |
Ms. Katherine Kismet Ochoa Jagiello, M.A., M.S., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-421-9200 | |
Annette Allen Jenkins, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 229 S Riverside Ave, Suite M, Rialto, CA 92376 Phone: 909-873-8363 Fax: 909-873-5039 |