Jaimie Lee Liberty, MFT | |
1126 N Grand Ave, Covina, CA 91724-1551 | |
(626) 967-1667 | |
(626) 967-6027 |
Full Name | Jaimie Lee Liberty |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 1126 N Grand Ave, Covina, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497897615 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MFC40291 (California) | Primary |
Entity Name | Pacific Clinics |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255496105 PECOS PAC ID: 4082008420 Enrollment ID: O20220228001926 |
Mailing Address | Practice Location Address |
---|---|
Jaimie Lee Liberty, MFT 9177 Candlewood St, Rancho Cucamonga, CA 91730-1232 Ph: (909) 484-7352 | Jaimie Lee Liberty, MFT 1126 N Grand Ave, Covina, CA 91724-1551 Ph: (626) 967-1667 |
Caitlin Staveley, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 540 S Eremland Dr, Covina, CA 91723 Phone: 626-966-1577 | |
Laura-renee Mendoza, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1126 N Grand Ave, Covina, CA 91724 Phone: 626-967-1667 Fax: 626-967-6027 | |
Mia Y Kim, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 560 S San Jose Ave, Covina, CA 91723 Phone: 626-967-5103 | |
Harry Shuster, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1274 Center Court Dr, Suite 112, Covina, CA 91724 Phone: 626-915-1681 Fax: 626-915-6503 | |
Jeffrey Lee Mancaruso, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 508-510 S Second Ave,, Covina, CA 91723 Phone: 626-974-8122 Fax: 626-974-8198 | |
Stephanie Cruz, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1085 W Badillo St, Covina, CA 91722 Phone: 626-332-8138 | |
Ms. Stephanie Marie Schneider, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 560 S San Jose Ave, Covina, CA 91723 Phone: 626-967-5103 |