La Tisha Lynn San Pedro-lintag, LMFT 133780 is a
Marriage & Family Therapist based in Pollock Pines, California. La Tisha Lynn San Pedro-lintag is licensed to practice in * (Not Available) (license number ) and her current practice location is
3431 Sly Park Rd, Pollock Pines, California. She can be reached at her office (for appointments etc.) via phone at
(209) 975-7919.
NPI number for La Tisha Lynn San Pedro-lintag is 1487149407 and her current mailing address is Po Box 445, Pollock Pines, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1487149407.
Healthcare Provider's Profile
Full Name | La Tisha Lynn San Pedro-lintag |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 3431 Sly Park Rd, Pollock Pines, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1487149407
- Provider Enumeration Date: 06/22/2018
- Last Update Date: 07/22/2022
Medical Identifiers
Medical identifiers for La Tisha Lynn San Pedro-lintag such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487149407 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. La Tisha Lynn San Pedro-lintag is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
La Tisha Lynn San Pedro-lintag, LMFT 133780 Po Box 445, Pollock Pines, CA 95726-0445 Ph: (916) 583-4426 | La Tisha Lynn San Pedro-lintag, LMFT 133780 3431 Sly Park Rd, Pollock Pines, CA 95726-9520 Ph: (209) 975-7919 |
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