Jillian Lee Tyson, MA | |
1170 Industrial St, Redding, CA 96002-0734 | |
(530) 755-9957 | |
Not Available |
Full Name | Jillian Lee Tyson |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 1170 Industrial St, Redding, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912542903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | 128916 (California) | Primary |
Entity Name | Creekside Counseling Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194750547 PECOS PAC ID: 1557683315 Enrollment ID: O20141204002317 |
Mailing Address | Practice Location Address |
---|---|
Jillian Lee Tyson, MA 1170 Industrial St, Redding, CA 96002-0734 Ph: (530) 722-9957 | Jillian Lee Tyson, MA 1170 Industrial St, Redding, CA 96002-0734 Ph: (530) 755-9957 |
Cherish Carlette Padro, MA, AMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1201 Industrial St, Redding, CA 96002 Phone: 530-241-4115 | |
Melissa Helbach, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3657 Ricardo Ave, Redding, CA 96002 Phone: 530-242-9007 Fax: 530-223-2027 | |
Teri Watts, MFT INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2135 Pine St, Redding, CA 96001 Phone: 530-722-9957 Fax: 530-722-9294 | |
Joshua Stine, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1170 Industrial St, Redding, CA 96002 Phone: 530-338-0330 | |
Alexandria Marie Goebel, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2395 Bechelli Ln Ste B, Redding, CA 96002 Phone: 530-638-3811 | |
Derek Williamson, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1170 Industrial St, Redding, CA 96002 Phone: 530-722-9957 | |
Sandra A Wilson, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3617 Ricardo, Redding, CA 96002 Phone: 530-605-9902 |