Melissa Decraene, LMFT | |
1212 N Californa St, Stockton, CA 95202 | |
(092) 468-3493 | |
Not Available |
Full Name | Melissa Decraene |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 1212 N Californa 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 |
---|---|---|---|
1811332372 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | LMFT 85862 (California) | Primary |
Entity Name | Grow Healthcare Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
Mailing Address | Practice Location Address |
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Melissa Decraene, LMFT 1212 N California St, Stockton, CA 95202-1552 Ph: (209) 468-3493 | Melissa Decraene, LMFT 1212 N Californa St, Stockton, CA 95202 Ph: (092) 468-3493 |
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 | |
Cynthia Fullwood-fleck, MFT, PCC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-468-8750 | |
Davetta Jackson-young, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8863 Santa Maria Way, Stockton, CA 95210 Phone: 678-704-5213 |