Sheree Jones-pistol, A Marriage And Family Therapy Corporation | |
9003 Reseda Boulevard Suite 206 Northridge CA 91324-3961 | |
(818) 705-5652 | |
(818) 705-7876 |
Full Name | Sheree Jones-pistol, A Marriage And Family Therapy Corporation |
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Speciality | Marriage & Family Therapist |
Location | 9003 Reseda Boulevard, Northridge, California |
Authorized Official Name and Position | Sheree Lynne Jones-pistol (PRESIDENT/CEO) |
Authorized Official Contact | 8187055652 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sheree Jones-pistol, A Marriage And Family Therapy Corporation 18375 Ventura Boulevard Suite 309 Tarzana CA 91356-4218 Ph: (818) 705-5652 | Sheree Jones-pistol, A Marriage And Family Therapy Corporation 9003 Reseda Boulevard Suite 206 Northridge CA 91324-3961 Ph: (818) 705-5652 |
NPI Number | 1184045403 |
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Provider Enumeration Date | 01/05/2014 |
Last Update Date | 07/15/2022 |
Certification Date | 07/15/2022 |
Medicare PECOS PAC ID | 8729521018 |
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Medicare Enrollment ID | O20240614001153 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184045403 | NPI | - | NPPES |
1992953475 | Other | CA | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | MFC36905 (California) | Primary |
Provider Name | Sheree Lynne Jones-pistol |
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Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1992953475 PECOS PAC ID: 7719420009 Enrollment ID: I20240614001231 |
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