Jeffrey Alan Moon, LMFT | |
13405 Folsom Blvd Ste 210, Folsom, CA 95630-4738 | |
(916) 621-2750 | |
(916) 621-2750 |
Full Name | Jeffrey Alan Moon |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 13405 Folsom Blvd Ste 210, Folsom, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083047997 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 104390 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
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 |
---|---|
Jeffrey Alan Moon, LMFT 3599 Homestead Rd, Rescue, CA 95672-9547 Ph: (530) 591-5720 | Jeffrey Alan Moon, LMFT 13405 Folsom Blvd Ste 210, Folsom, CA 95630-4738 Ph: (916) 621-2750 |
Ms. Kathleen Moss Muschio, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1580 Creekside Drive #240, Folsom, CA 95630 Phone: 916-320-1505 Fax: 530-677-6696 | |
Kara Anne Guinan Miller, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 530 Plaza Dr Ste 130, Folsom, CA 95630 Phone: 916-542-9514 | |
Melissa Elizabeth Drivon, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 193 Blue Ravine Rd Ste 220, Folsom, CA 95630 Phone: 916-988-5531 | |
Kimberly A Tellman, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1000 River Rock Dr Ste 106, Folsom, CA 95630 Phone: 530-368-9315 | |
Ms. Nancy Ann Milla, M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2360 E Bidwell St, Ste. 107, Folsom, CA 95630 Phone: 916-220-2951 Fax: 916-983-1981 | |
Shaaron Garey, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 507 Natoma St, Folsom, CA 95630 Phone: 916-365-3333 | |
Karyn J Lamb, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 530 Plaza Dr Ste 130, Folsom, CA 95630 Phone: 916-229-8813 |