Miss Rebecca Ann Otten, LMFT | |
55 Shaw Ave Ste 120, Clovis, CA 93612 | |
(559) 549-6066 | |
(559) 272-2202 |
Full Name | Miss Rebecca Ann Otten |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 55 Shaw Ave Ste 120, Clovis, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659405785 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 45647 (California) | Secondary |
106H00000X | Marriage & Family Therapist | 46527 (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 |
---|---|
Miss Rebecca Ann Otten, LMFT 55 Shaw Ave Ste 120, Clovis, CA 93612-3819 Ph: (559) 549-6066 | Miss Rebecca Ann Otten, LMFT 55 Shaw Ave Ste 120, Clovis, CA 93612 Ph: (559) 549-6066 |
Nicolyn Trevino, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 644 Pollasky Ave Ste 203, Clovis, CA 93612 Phone: 559-387-4123 | |
David Joel Miller, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3134 Willow Ave, Suite 103, Clovis, CA 93612 Phone: 559-977-0614 Fax: 559-453-5700 | |
Mr. Alexander Betancourt, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3724 Duke Ave, Clovis, CA 93612 Phone: 559-978-2576 | |
Ms. Maria G Garcia, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: Po Box 502, Clovis, CA 93613 Phone: 599-999-8104 | |
Julie Ann Barrett, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1049 N Citadel Ave, Clovis, CA 93611 Phone: 559-770-8199 | |
Michelle Mcwilliams, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1420 Shaw Ave, Suite102/181, Clovis, CA 93611 Phone: 559-238-7861 | |
Maria Adilene Corona Cisneros, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2361 Sample Ave, Clovis, CA 93611 Phone: 559-323-4502 Fax: 559-325-0689 |