Giovanna Pagano Lcsw | |
327 E Redwood Ave Ste D Fort Bragg CA 95437-3550 | |
(707) 734-0504 | |
Not Available |
Full Name | Giovanna Pagano Lcsw |
---|---|
Speciality | Community/behavioral Health |
Location | 327 E Redwood Ave Ste D, Fort Bragg, California |
Authorized Official Name and Position | Giovanna Pagano (PSYCHOTHERAPIST) |
Authorized Official Contact | 7077340504 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Giovanna Pagano Lcsw Po Box 272 Little River CA 95456-0272 Ph: (707) 734-0504 | Giovanna Pagano Lcsw 327 E Redwood Ave Ste D Fort Bragg CA 95437-3550 Ph: (707) 734-0504 |
NPI Number | 1821598392 |
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Provider Enumeration Date | 02/20/2018 |
Last Update Date | 03/08/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821598392 | NPI | - | NPPES |
1295852242 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LCSW22285 (California) | Primary |
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