| Donna Jean Brint, AFMT, CAODC | |
|
180 Sierra College Dr, Grass Valley, CA 95945-5768 | |
| (530) 273-9541 | |
| (530) 273-7740 |
| Full Name | Donna Jean Brint |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 180 Sierra College Dr, Grass Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750644845 | NPI | - | NPPES |
| Entity Name | Waterfall Clinic Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619915113 PECOS PAC ID: 5698740355 Enrollment ID: O20040827000153 |
| Mailing Address | Practice Location Address |
|---|---|
| Donna Jean Brint, AFMT, CAODC 180 Sierra College Dr, Grass Valley, CA 95945-5768 Ph: (530) 273-9541 | Donna Jean Brint, AFMT, CAODC 180 Sierra College Dr, Grass Valley, CA 95945-5768 Ph: (530) 273-9541 |
Seth Thomas Derrick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 900 E Main St Ste 201, Grass Valley, CA 95945 Phone: 530-802-6993 | |
Westlie Aguilar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 714 W Main St, Grass Valley, CA 95945 Phone: 530-477-9800 | |
Samuel Sebastian Echeverria, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Crown Point Cir Ste 100, Grass Valley, CA 95945 Phone: 530-273-5440 | |
Mr. Daniel H. Peters, CATC-II Counselor Medicare: Not Enrolled in Medicare Practice Location: 180 Sierra College Dr, Grass Valley, CA 95945 Phone: 530-273-9541 Fax: 530-273-7740 | |
Mrs. Angela Johan Clark, LPC, LPCC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 673 S Auburn St, Grass Valley, CA 95945 Phone: 530-913-7221 | |
Mr. Joseph Adam Naake, RADTI Counselor Medicare: Not Enrolled in Medicare Practice Location: 256 Buena Vista St, Grass Valley, CA 95945 Phone: 530-274-2000 Fax: 530-274-2116 | |
Bryan Lassegard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 714 W Main St, Grass Valley, CA 95945 Phone: 530-477-9800 Fax: 530-477-9803 |