Michelle Nicole Ulloa, | |
3960 Walnut Dr, Eureka, CA 95503-8938 | |
(707) 268-8722 | |
(707) 268-0218 |
Full Name | Michelle Nicole Ulloa |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 3960 Walnut Dr, Eureka, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508341660 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 114781 (California) | Primary |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
Entity Name | Healing Roots Curando Raices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730933995 PECOS PAC ID: 8921545351 Enrollment ID: O20240802003534 |
Entity Name | Healing Roots Curando Raices Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669202537 PECOS PAC ID: 3375083892 Enrollment ID: O20240911002866 |
Mailing Address | Practice Location Address |
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Michelle Nicole Ulloa, 3960 Walnut Dr, Eureka, CA 95503-8938 Ph: (707) 268-8722 | Michelle Nicole Ulloa, 3960 Walnut Dr, Eureka, CA 95503-8938 Ph: (707) 268-8722 |
Margaret Carol Mcneill, MFC Couples Therapy Medicare: Medicare Enrolled Practice Location: 2412 Buhne St, Eureka, CA 95501 Phone: 707-441-1624 | |
Eric Carl Vedborg, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 720 Wood St, Eureka, CA 95501 Phone: 707-268-2935 | |
Mr. John Raymond Anderson, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 720 Wood St, Eureka, CA 95501 Phone: 707-268-2990 | |
Dr. Charles Richard Stotler, ED.D., MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3122 F St, Eureka, CA 95503 Phone: 707-443-8642 Fax: 707-443-0517 | |
Mr. Jeremy Paul Nilsen, Couples Therapy Medicare: Medicare Enrolled Practice Location: 720 Wood St, Eureka, CA 95501 Phone: 707-268-2900 | |
Ms. Elizabeth Hadden Goodman, LMFT LPCC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 517 Third Street Suite 39, Eureka, CA 95501 Phone: 707-499-4111 Fax: 707-444-8882 | |
Lisa Carpinelli, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1802 California St, Eureka, CA 95501 Phone: 707-443-7358 |