John Robert Ackerman, MFT | |
3551 Camino Mira Costa, Suite K, San Clemente, CA 92672-3508 | |
(949) 606-5398 | |
Not Available |
Full Name | John Robert Ackerman |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 3551 Camino Mira Costa, San Clemente, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467484402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 38629 (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 |
---|---|
John Robert Ackerman, MFT 3551 Camino Mira Costa, Suite K, San Clemente, CA 92672-3529 Ph: (949) 606-5398 | John Robert Ackerman, MFT 3551 Camino Mira Costa, Suite K, San Clemente, CA 92672-3508 Ph: (949) 606-5398 |
Mari Konoshima Andersen, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3551 Camino Mira Costa Ste T, San Clemente, CA 92672 Phone: 949-272-4444 | |
Tracy Rose Cynthia Lisauskas, LMFT, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3504 Avenida Del Presidente Apt 20, San Clemente, CA 92672 Phone: 562-261-4103 | |
Gregory Baxter, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 302 N El Camino Real Ste 202, San Clemente, CA 92672 Phone: 949-354-3681 | |
Mrs. Sharon Marie Roybal, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3551 Camino Mira Costa, San Clemente, CA 92672 Phone: 949-632-7355 Fax: 949-248-7304 | |
Michael Burke, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 161 Avenida Cabrillo, San Clemente, CA 92672 Phone: 925-301-6352 | |
Jennifer Reza, M.A. LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1401 N El Camino Real, Suite 106, San Clemente, CA 92672 Phone: 949-287-4289 | |
Ms. Kerreen Chau, IMF Couples Therapy Medicare: Medicare Enrolled Practice Location: 101 S El Camino Real Ste 106, San Clemente, CA 92672 Phone: 949-769-0153 Fax: 619-378-7973 |