Jonathan Phillip Wilson, | |
20380 Shoshonee Rd, Apple Valley, CA 92307-5604 | |
(760) 617-6722 | |
Not Available |
Full Name | Jonathan Phillip Wilson |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 20380 Shoshonee Rd, Apple Valley, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497176903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | 86228 (California) | Primary |
Entity Name | High Desert Psychological Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1104463371 PECOS PAC ID: 2860819125 Enrollment ID: O20200901001503 |
Mailing Address | Practice Location Address |
---|---|
Jonathan Phillip Wilson, 20380 Shoshonee Rd, Apple Valley, CA 92307-5604 Ph: (760) 617-6722 | Jonathan Phillip Wilson, 20380 Shoshonee Rd, Apple Valley, CA 92307-5604 Ph: (760) 617-6722 |
Mrs. Nancy Kay Hirst, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 16195 Siskiyou Rd, Suite 120-a, Apple Valley, CA 92307 Phone: 760-946-2070 Fax: 760-946-1511 | |
Jean Voska, RNMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 16195 Siskiyou Rd, Suite 120a, Apple Valley, CA 92307 Phone: 760-946-2070 Fax: 760-946-1511 | |
Mr. Bruce Gene Malcolm, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17800 Us Highway 18, Apple Valley, CA 92307 Phone: 760-255-1496 | |
Darlene Irene Belisle, MS,LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17800 Us Highway 18, Apple Valley, CA 92307 Phone: 760-242-6336 Fax: 760-242-5363 | |
Shelli Marie Flores, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17800 Us Highway 18, Apple Valley, CA 92307 Phone: 760-881-8025 | |
Sandra M Carlson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17800 Us Highway 18, Apple Valley, CA 92307 Phone: 760-217-6437 | |
Carolina Elizabeth Myrvold, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17800 Us Highway 18, Apple Valley, CA 92307 Phone: 626-627-7777 |