Mrs Molly Mae Wildfeuer, MA | |
3150 Pio Pico Dr Ste 210, Carlsbad, CA 92008-1951 | |
(657) 333-6860 | |
Not Available |
Full Name | Mrs Molly Mae Wildfeuer |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 3150 Pio Pico Dr Ste 210, Carlsbad, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053777268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | LPCC5397 (California) | Primary |
Entity Name | Wave Professional Clinical Counselors Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700288768 PECOS PAC ID: 6305153123 Enrollment ID: O20150911000030 |
Mailing Address | Practice Location Address |
---|---|
Mrs Molly Mae Wildfeuer, MA 3150 Pio Pico Dr Ste 105, Carlsbad, CA 92008-1951 Ph: (657) 333-6860 | Mrs Molly Mae Wildfeuer, MA 3150 Pio Pico Dr Ste 210, Carlsbad, CA 92008-1951 Ph: (657) 333-6860 |
Michael Koch, CADCII, BSCJA, SAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 580 Beech Ave Ste B, Carlsbad, CA 92008 Phone: 760-224-6631 | |
Ms. Catherine Michelle Broadhead, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 852 Heather Way, Carlsbad, CA 92011 Phone: 858-220-5713 | |
Tiffany Sotelo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2928 Jefferson St Ste 100, Carlsbad, CA 92008 Phone: 855-223-7123 | |
Lorena Lizbeth Rincon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3150 Pio Pico Dr Ste 105, Carlsbad, CA 92008 Phone: 760-500-3325 Fax: 760-800-4099 | |
Ms. Laura L Shames, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 2326 Caringa Way, Carlsbad, CA 92009 Phone: 310-486-7647 | |
Mr. Steven Perez, APCC 3013 Counselor Medicare: Not Enrolled in Medicare Practice Location: 5650 El Camino Real Ste 130, Carlsbad, CA 92008 Phone: 949-903-8440 |