| Lacey Chamberlain, AMFT | |
|
2505 W Hammer Ln, Stockton, CA 95209-2839 | |
| (209) 524-9404 | |
| (209) 491-7584 |
| Full Name | Lacey Chamberlain |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 2505 W Hammer Ln, Stockton, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245818731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | AMFT124943 (California) | Primary |
| Entity Name | Sutter Valley Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Lacey Chamberlain, AMFT Po Box 255228, Sacramento, CA 95865-5228 Ph: () - | Lacey Chamberlain, AMFT 2505 W Hammer Ln, Stockton, CA 95209-2839 Ph: (209) 524-9404 |
Norman Love, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8626 Lower Sacramento Rd Ste 41, Stockton, CA 95210 Phone: 209-478-2487 | |
Mrs. Cynthia Denise Aguilera, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6707 Embarcadero Dr, Stockton, CA 95219 Phone: 209-956-4240 | |
Katherine Bailey, MA, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6707 Embarcadero Dr, Stockton, CA 95219 Phone: 209-956-4240 | |
Mrs. Taylere Louise Looney, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 540 N California St, Stockton, CA 95202 Phone: 209-464-4524 | |
Mr. Wayne A. Uecker, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-468-8834 | |
Davetta Jackson-young, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8863 Santa Maria Way, Stockton, CA 95210 Phone: 678-704-5213 | |
Mr. Adam William Diestler, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1414 N California St, Stockton, CA 95202 Phone: 209-468-2385 |