Jaclyn A Grace, | |
555 Soquel Ave Ste 260, Santa Cruz, CA 95062-2340 | |
(831) 440-8095 | |
Not Available |
Full Name | Jaclyn A Grace |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 555 Soquel Ave Ste 260, Santa Cruz, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891196077 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (California) | Primary |
Entity Name | Sokyahealth Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942970330 PECOS PAC ID: 8628463015 Enrollment ID: O20220322001499 |
Mailing Address | Practice Location Address |
---|---|
Jaclyn A Grace, 1430 East Ave Ste 2b, Chico, CA 95926-1629 Ph: (530) 433-4354 | Jaclyn A Grace, 555 Soquel Ave Ste 260, Santa Cruz, CA 95062-2340 Ph: (831) 440-8095 |
William Mccabe, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 709 Mission St, Santa Cruz, CA 95060 Phone: 831-429-8350 | |
Stacey Alonzo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 700 Frederick St Ste 103, Santa Cruz, CA 95062 Phone: 831-996-1222 | |
Daniel Christopher Dailey, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 104 Walnut Ave Ste 208, Santa Cruz, CA 95060 Phone: 831-423-9444 | |
Nancy Kathrine Mast, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1400 Emeline Ave Bldg K, Santa Cruz, CA 95060 Phone: 831-454-5087 | |
Michelle Renee Myers, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 310 Locust St Ste E, Santa Cruz, CA 95060 Phone: 831-331-3453 | |
Amelia Coulter, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3319b Mission Dr, Santa Cruz, CA 95065 Phone: 831-331-9286 | |
Anna Yabroff, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1445 Laurel St, Santa Cruz, CA 95060 Phone: 831-227-4968 |