Martha Patricia Banuelos, LMFT | |
2501 E Chapman Ave, Orange, CA 92869-3204 | |
(714) 633-1011 | |
Not Available |
Full Name | Martha Patricia Banuelos |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 2501 E Chapman Ave, Orange, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710413356 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | LMFT93437 (California) | Primary |
Entity Name | Providence Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346 |
Mailing Address | Practice Location Address |
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Martha Patricia Banuelos, LMFT Po Box 4263, Orange, CA 92863-4263 Ph: () - | Martha Patricia Banuelos, LMFT 2501 E Chapman Ave, Orange, CA 92869-3204 Ph: (714) 633-1011 |
Maria Del Carmen Bernal, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1855 W Katella Ave Ste 150, Orange, CA 92867 Phone: 714-399-3480 | |
Carolyn Fox Blakemore, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2230 W Chapman Ave, Orange, CA 92868 Phone: 805-323-0270 | |
Jessica Klinkenberg, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1110 E Chapman Ave Ste 201, Orange, CA 92866 Phone: 714-588-7224 | |
Mrs. Nicole Annette Seitz, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 231 W Blueridge Ave, Orange, CA 92865 Phone: 714-423-1519 | |
Michelle Flores, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 500 City Pkwy W Ste 200, Orange, CA 92868 Phone: 714-480-6600 | |
Juan Galaviz, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 301 The City Dr S Fl 2, Orange, CA 92868 Phone: 714-935-6363 | |
Mr. David Lee, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4000 W Metropolitan Dr Ste 401, Orange, CA 92868 Phone: 714-834-4707 |