Genevieve Ann Green, MFTI | |
202 Glacier Dr, Martinez, CA 94553-4826 | |
(415) 412-0336 | |
Not Available |
Full Name | Genevieve Ann Green |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 202 Glacier Dr, Martinez, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285912006 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 63340 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
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Genevieve Ann Green, MFTI 5059 Hiller Ln, Martinez, CA 94553-8601 Ph: (415) 412-0336 | Genevieve Ann Green, MFTI 202 Glacier Dr, Martinez, CA 94553-4826 Ph: (415) 412-0336 |
Bertha Alicia Diaz, MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1340 Arnold Dr Ste 200, Martinez, CA 94553 Phone: 925-957-5150 | |
Ms. Amber Kipril Fretwell, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1320 Arnold Dr, Martinez, CA 94553 Phone: 925-229-5400 Fax: 925-229-5406 | |
Andrea Melano, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10 Douglas Dr Ste 140, Martinez, CA 94553 Phone: 925-387-9887 | |
Consuelo Negrete Blas, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1320 Arnold Dr Ste 170, Martinez, CA 94553 Phone: 925-372-4213 | |
Caitlin Young, Couples Therapy Medicare: Medicare Enrolled Practice Location: 300 Ilene St, Martinez, CA 94553 Phone: 925-313-7989 | |
Jeff Cohen, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2394 Lake Meadow Cir, Martinez, CA 94553 Phone: 510-206-1444 | |
Mrs. Heather Davenport, MA, LMFT#101616 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 202 Glacier Dr Fl 2, Martinez, CA 94553 Phone: 925-957-5306 Fax: 925-957-2746 |