Shannon Klosak, LMFT | |
324 E Bixby Rd, Long Beach, CA 90807-3432 | |
(562) 595-8111 | |
(562) 595-8148 |
Full Name | Shannon Klosak |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 324 E Bixby Rd, Long Beach, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013356229 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | LMFT93637 (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 |
---|---|
Shannon Klosak, LMFT 324 E Bixby Rd, Long Beach, CA 90807-3432 Ph: (562) 595-8111 | Shannon Klosak, LMFT 324 E Bixby Rd, Long Beach, CA 90807-3432 Ph: (562) 595-8111 |
Domonique Hualani Rood, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4151 E Fountain St, Long Beach, CA 90804 Phone: 562-719-9250 Fax: 562-719-9257 | |
Ms. Maria Fernanda Perez-rios, MASTERS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1501 Hughes Way Ste 150, Long Beach, CA 90810 Phone: 310-221-6336 | |
Daniel Crosby, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5150 E Pch Ste 100, Long Beach, CA 90804 Phone: 562-490-7600 Fax: 562-490-7601 | |
Ivannia Fuentes, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5150 E Pacific Coast Hwy Ste 100, Long Beach, CA 90804 Phone: 562-490-7600 Fax: 562-490-7601 | |
Corrine Julia Limas, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5199 E Pacific Coast Hwy Ste 330n, Long Beach, CA 90804 Phone: 562-365-2020 | |
Alejandro Ramirez, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1501 Hughes Way Ste 150, Long Beach, CA 90810 Phone: 310-221-6336 | |
Ms. Idalia Razo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3711 Long Beach Blvd, Suite 600, Long Beach, CA 90807 Phone: 562-485-3038 Fax: 562-981-7569 |