Mark Hudson, | |
2000 W Briggsmore Ave, Suite I, Modesto, CA 95350-3839 | |
(209) 526-1476 | |
Not Available |
Full Name | Mark Hudson |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 2000 W Briggsmore Ave, Modesto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528190725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Entity Name | County Of San Joaquin |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215028931 PECOS PAC ID: 6002703436 Enrollment ID: O20050915001095 |
Mailing Address | Practice Location Address |
---|---|
Mark Hudson, 2000 W Briggsmore Ave, Suite I, Modesto, CA 95350-3839 Ph: (209) 526-1476 | Mark Hudson, 2000 W Briggsmore Ave, Suite I, Modesto, CA 95350-3839 Ph: (209) 526-1476 |
Roberta Margaret Elledge, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 819 15th St, Modesto, CA 95354 Phone: 209-549-9608 Fax: 209-522-5700 | |
Paige A Cole, Couples Therapy Medicare: Medicare Enrolled Practice Location: 121 Downey Ave, Modesto, CA 95354 Phone: 559-577-6995 | |
Ana Lisette Santos, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1400 K St Ste B, Modesto, CA 95354 Phone: 209-550-5869 Fax: 209-523-0442 | |
Mr. Pete Herron, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 615 13th St, Modesto, CA 95354 Phone: 209-380-3187 Fax: 209-846-0913 | |
Mrs. Pamela Christine Remides, MFT TRAINEE Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 615 14th St, Modesto, CA 95354 Phone: 209-524-4858 | |
Ms. Patricia Gail Pasqualone, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2125 Wylie Dr, Modesto, CA 95355 Phone: 209-605-9230 Fax: 209-846-9042 | |
Mrs. Martha Angelica Estrada, MFT INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2215 Blue Gum Ave, Modesto, CA 95358 Phone: 209-525-5380 |