| Ms Lara Jean Wilson, MA, MFT | |
|
592 Rio Lindo Ave, Chico, CA 95926-1817 | |
| (530) 891-2810 | |
| Not Available |
| Full Name | Ms Lara Jean Wilson |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 592 Rio Lindo Ave, Chico, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982726329 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFT40840 (California) | Primary |
| Entity Name | Northern Valley Indian Health Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1295752384 PECOS PAC ID: 1557493723 Enrollment ID: O20140429000114 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lara Jean Wilson, MA, MFT 592 Rio Lindo Ave, Chico, CA 95926-1817 Ph: (530) 891-2810 | Ms Lara Jean Wilson, MA, MFT 592 Rio Lindo Ave, Chico, CA 95926-1817 Ph: (530) 891-2810 |
Adrienne Wilson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2105 Forest Ave Ste 120, Chico, CA 95928 Phone: 530-588-6797 | |
Mrs. Mary Ann Poe, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 341 Broadway, Suite 400b, Chico, CA 95928 Phone: 530-521-3886 | |
Mr. Ray A. Varlinsky, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1405 Magnolia Ave, Suite B, Chico, CA 95926 Phone: 530-894-3330 Fax: 530-894-1770 | |
Mrs. Sarah Brie Connell, MFT INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10 Independence Cir, Chico, CA 95973 Phone: 530-345-1600 | |
Ms. Vicki Lorraine Catomerisios, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 500 Cohesset Road, Suite 15, Chico, CA 95926 Phone: 530-891-2945 Fax: 530-895-6669 | |
Ms. Jane C. Gutierrez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 852 Manzanita Ct Ste 155, Chico, CA 95926 Phone: 530-361-5303 | |
Michael William Clarke, PHD Couples Therapy Medicare: Medicare Enrolled Practice Location: 845 W East Ave, Chico, CA 95926 Phone: 530-896-9400 Fax: 530-879-3352 |