Jeremy Acevedo, | |
1303 E Grand Ave, Arroyo Grande, CA 93420-2460 | |
(805) 242-3178 | |
Not Available |
Full Name | Jeremy Acevedo |
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Gender | Male |
Speciality | Counselor |
Location | 1303 E Grand Ave, Arroyo Grande, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891033544 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Lags Recovery Centers, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033665526 PECOS PAC ID: 2365844206 Enrollment ID: O20220707001799 |
Mailing Address | Practice Location Address |
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Jeremy Acevedo, 1017 N Concepcion Ave, Santa Maria, CA 93454-2321 Ph: () - | Jeremy Acevedo, 1303 E Grand Ave, Arroyo Grande, CA 93420-2460 Ph: (805) 242-3178 |
Megan Grace Bergthold, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1172 E Grand Ave, Arroyo Grande, CA 93420 Phone: 805-801-2231 | |
Tania Resendiz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 354 S Halcyon Rd, Arroyo Grande, CA 93420 Phone: 805-473-7142 | |
Lesley Andrews-wise, Counselor Medicare: Not Enrolled in Medicare Practice Location: 354 S Halcyon Rd, Arroyo Grande, CA 93420 Phone: 805-473-7060 Fax: 805-473-7124 | |
Mrs. Genessa Zeller, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 227 Bridge St, Arroyo Grande, CA 93420 Phone: 805-904-4101 | |
Mrs. Melisha Fay Gifford, Counselor Medicare: Not Enrolled in Medicare Practice Location: 354 S Halcyon Rd, Arroyo Grande, CA 93420 Phone: 805-473-7158 | |
Dr. Elizabeth Ann Mccain Briggs, PSYD, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2570 Paul Pl, Arroyo Grande, CA 93420 Phone: 805-996-0595 | |
Chris Janowicz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 447 Lierly Ln, Arroyo Grande, CA 93420 Phone: 805-781-3535 |