Maria-cecilia Guillermo, | |
3270 Kerner Blvd Ste B, San Rafael, CA 94901-4840 | |
(415) 473-3270 | |
Not Available |
Full Name | Maria-cecilia Guillermo |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 3270 Kerner Blvd Ste B, San Rafael, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538265269 | NPI | - | NPPES |
05-1063 | Other | FQHC MEDICARE PART A | |
ZZZ29799Z | Other | FQHC MEDICARE PART B |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MFT22935 (California) | Primary |
Entity Name | La Clinica De La Raza Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144336181 PECOS PAC ID: 1557258282 Enrollment ID: O20040227001016 |
Mailing Address | Practice Location Address |
---|---|
Maria-cecilia Guillermo, 3270 Kerner Blvd Ste B, San Rafael, CA 94901-4840 Ph: (415) 473-3270 | Maria-cecilia Guillermo, 3270 Kerner Blvd Ste B, San Rafael, CA 94901-4840 Ph: (415) 473-3270 |
Ms. Elizabeth Cronk Salin, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1214 Lincoln Ave, San Rafael, CA 94901 Phone: 415-457-2206 Fax: 707-778-8441 | |
Lauren Ashley Ogren, M.A., MFT, LPCCI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 710 C St, Suite D, San Rafael, CA 94901 Phone: 415-488-6650 | |
Jennifer Loyer, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1214 Lincoln Ave, San Rafael, CA 94901 Phone: 415-686-9562 | |
Alyssa Paris, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1480 Lincoln Ave, San Rafael, CA 94901 Phone: 310-909-4834 | |
Ms. Margaret Susan Shalen, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1703 5th Ave, #201, San Rafael, CA 94901 Phone: 415-457-6864 Fax: 415-488-0327 | |
Mrs. Kay Copeland Mcnamara, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1330 Lincoln Ave, #201, San Rafael, CA 94901 Phone: 415-459-5999 | |
Ms. Jessica Pinto, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1480 Lincoln Ave Ste 5, San Rafael, CA 94901 Phone: 415-295-2210 |