| Nugent Family Counseling Center Inc | |
|
950 S Bascom Ave Ste 2010 San Jose CA 95128-3538 | |
| (408) 341-9222 | |
| Not Available |
| Full Name | Nugent Family Counseling Center Inc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 950 S Bascom Ave Ste 2010, San Jose, California |
| Authorized Official Name and Position | Geoff Julian Nugent (CEO) |
| Authorized Official Contact | 4083419222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nugent Family Counseling Center Inc 950 S Bascom Ave Suite 2005 San Jose CA 95128-3536 Ph: (408) 341-9222 | Nugent Family Counseling Center Inc 950 S Bascom Ave Ste 2010 San Jose CA 95128-3538 Ph: (408) 341-9222 |
| NPI Number | 1679005862 |
|---|---|
| Provider Enumeration Date | 03/28/2017 |
| Last Update Date | 08/15/2024 |
| Certification Date | 08/15/2024 |
| Medicare PECOS PAC ID | 2668816745 |
|---|---|
| Medicare Enrollment ID | O20240216000994 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679005862 | NPI | - | NPPES |
| Provider Name | Geoff Julian Nugent |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376770859 PECOS PAC ID: 3577907658 Enrollment ID: I20240216001035 |
| Provider Name | Jon W. Ray |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1447494232 PECOS PAC ID: 9537551593 Enrollment ID: I20240318000795 |
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