Mainkau Kathy Thor, | |
225 Academy Ave, Sanger, CA 93657-2128 | |
(559) 875-7705 | |
Not Available |
Full Name | Mainkau Kathy Thor |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 225 Academy Ave, Sanger, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427576982 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 133591 (California) | Primary |
Entity Name | Forward Wellness Family Therapy Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093398059 PECOS PAC ID: 9739546144 Enrollment ID: O20230530002815 |
Mailing Address | Practice Location Address |
---|---|
Mainkau Kathy Thor, 225 Academy Ave, Sanger, CA 93657-2128 Ph: (559) 875-7705 | Mainkau Kathy Thor, 225 Academy Ave, Sanger, CA 93657-2128 Ph: (559) 875-7705 |
Summer Paccassi, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 333 Pinewood Ave, Sanger, CA 93657 Phone: 559-341-9656 | |
Jessica E Heredia, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 225 Academy Ave, Sanger, CA 93657 Phone: 855-343-1057 | |
Shannon R Lum, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2570 Jensen Ave Ste 105, Sanger, CA 93657 Phone: 559-399-8144 | |
Jennifer Diane Bolen, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2511 Jensen Ave, Sanger, CA 93657 Phone: 559-875-3023 |