| Anne Therese Chicoine, MSW LCSW | |
|
67555 E Palm Canyon Dr Ste C113, Cathedral City, CA 92234-5412 | |
| (760) 773-4300 | |
| (760) 773-4285 |
| Full Name | Anne Therese Chicoine |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 67555 E Palm Canyon Dr Ste C113, Cathedral City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447366752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCS 21634 (California) | Primary |
| Entity Name | Blue Moon Senior Counseling Of California Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447678990 PECOS PAC ID: 9335360981 Enrollment ID: O20141023000497 |
| Mailing Address | Practice Location Address |
|---|---|
| Anne Therese Chicoine, MSW LCSW 67555 E Palm Canyon Dr Ste C113, Cathedral City, CA 92234-5412 Ph: (760) 773-4300 | Anne Therese Chicoine, MSW LCSW 67555 E Palm Canyon Dr Ste C113, Cathedral City, CA 92234-5412 Ph: (760) 773-4300 |
Emelinda Mcginnis, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29950 Avenida Juarez, Cathedral City, CA 92234 Phone: 760-902-0844 | |
Aileen R Lopez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 68576 D St, Cathedral City, CA 92234 Phone: 760-399-7749 | |
Dustin Hawkins, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 38207 Bel Air Dr, Cathedral City, CA 92234 Phone: 502-795-4420 | |
Mr. Thomas Kenneth Ebersten, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 68625 Perez Rd, Cathedral City, CA 92234 Phone: 760-863-7874 | |
John Patrick Archer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1084 Via Verde, Cathedral City, CA 92234 Phone: 530-615-7271 | |
Ms. Lois Doi, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 68615 Perez Rd Ste 6a, Cathedral City, CA 92234 Phone: 760-770-2222 Fax: 760-770-2249 |