| Sara Kenney, | |
|
307 S B St, San Mateo, CA 94401-4053 | |
| (650) 881-2490 | |
| Not Available |
| Full Name | Sara Kenney |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 307 S B St, San Mateo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316402456 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 145633 (California) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| Entity Name | Izzo Marriage & Family Therapy Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518557552 PECOS PAC ID: 5092249490 Enrollment ID: O20241107002046 |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Kenney, 2651 Perkins Creek Dr Apt 1031, Paducah, KY 42001-7536 Ph: (981) 791-1533 | Sara Kenney, 307 S B St, San Mateo, CA 94401-4053 Ph: (650) 881-2490 |
Elena Sharon Levin, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 150 W 20th Ave, San Mateo, CA 94403 Phone: 650-372-8569 Fax: 650-341-7389 | |
Ms. Luz Denise Govea, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1670 S Amphlett Blvd Ste 115, San Mateo, CA 94402 Phone: 650-294-2812 | |
Diana Moore, MA LMFT LPCC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1510 Fashion Island Blvd, Suite 110, San Mateo, CA 94404 Phone: 650-906-3978 Fax: 650-570-4283 | |
Clifford Reis, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 150 W 20th Ave, San Mateo, CA 94403 Phone: 650-372-8540 Fax: 650-522-9830 | |
Mr. Marcos H. Chacon Jr., M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 222 Paul Scannell Dr, San Mateo, CA 94402 Phone: 650-312-5368 | |
Luke Wilkerson, M.S.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1510 Fashion Island Blvd, Suite 110, San Mateo, CA 94404 Phone: 619-365-9956 | |
Ms. Nancy Grace Devaurs, MA, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1611 Borel Pl, Ste. 209, San Mateo, CA 94402 Phone: 650-571-7700 Fax: 650-571-7707 |