Jennifer Nolan, | |
108 W Victoria St, Gardena, CA 90248-3523 | |
(310) 175-2020 | |
(310) 660-0492 |
Full Name | Jennifer Nolan |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 108 W Victoria St, Gardena, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275052862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | IMF96469 (California) | Primary |
Entity Name | Wise Mind Counseling Services Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598300642 PECOS PAC ID: 6002250081 Enrollment ID: O20240217000406 |
Mailing Address | Practice Location Address |
---|---|
Jennifer Nolan, 108 W Victoria St, Gardena, CA 90248-3523 Ph: (310) 175-2020 | Jennifer Nolan, 108 W Victoria St, Gardena, CA 90248-3523 Ph: (310) 175-2020 |
Mrs. Iva Svetlikova, M.S. MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020 Fax: 310-660-0494 | |
Mrs. Sayo Matsuda, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 424-757-4226 | |
Mr. Khai Hoang Nguyen, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020 | |
Ms. Manuela Christine Siriaco, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 130 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020 | |
Edward Albert Del Hierro, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020 | |
Marissa Greenberg, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3333 W 152nd St, Gardena, CA 90249 Phone: 646-568-0047 | |
Mrs. Rheannon Chavez, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 108 W Victoria St, Gardena, CA 90248 Phone: 310-715-2020 |