Lauren Genung, | |
1212 N California St, Stockton, CA 95202-1552 | |
(209) 468-9373 | |
Not Available |
Full Name | Lauren Genung |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 1212 N California St, 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 |
---|---|---|---|
1154814457 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 121114 (California) | Primary |
101YM0800X | Counselor - Mental Health | 101685 (California) | Secondary |
Entity Name | Permanente Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Lauren Genung, 1212 N California St, Stockton, CA 95202-1552 Ph: (209) 468-9373 | Lauren Genung, 1212 N California St, Stockton, CA 95202-1552 Ph: (209) 468-9373 |
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 |