Mrs Genell Leslie Restivo, MFT | |
855 Canyon Rd, Redding, CA 96001-5544 | |
(530) 378-1855 | |
(530) 232-1444 |
Full Name | Mrs Genell Leslie Restivo |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 855 Canyon Rd, Redding, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194747170 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 52551 (California) | Primary |
Entity Name | County Of Shasta |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881692390 PECOS PAC ID: 8820081581 Enrollment ID: O20040407000772 |
Mailing Address | Practice Location Address |
---|---|
Mrs Genell Leslie Restivo, MFT 29864 Paradise Hill Ln, Shingletown, CA 96088-9416 Ph: (530) 474-3120 | Mrs Genell Leslie Restivo, MFT 855 Canyon Rd, Redding, CA 96001-5544 Ph: (530) 378-1855 |
Cherish Carlette Padro, MA, AMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1201 Industrial St, Redding, CA 96002 Phone: 530-241-4115 | |
Melissa Helbach, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3657 Ricardo Ave, Redding, CA 96002 Phone: 530-242-9007 Fax: 530-223-2027 | |
Teri Watts, MFT INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 355 Hemsted Dr Ste 101, Redding, CA 96002 Phone: 530-215-3632 Fax: 530-215-1173 | |
Joshua Stine, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1170 Industrial St, Redding, CA 96002 Phone: 530-338-0330 | |
Jayna Margene Mattson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4625 Mountain Lakes Blvd, Redding, CA 96003 Phone: 530-246-7172 | |
Alexandria Marie Goebel, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2395 Bechelli Ln Ste B, Redding, CA 96002 Phone: 530-638-3811 | |
Derek Williamson, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1170 Industrial St, Redding, CA 96002 Phone: 530-722-9957 |