| Gavin O'sullivan, | |
|
840 Old Grass Valley Rd, Colfax, CA 95713-9407 | |
| (530) 217-3575 | |
| Not Available |
| Full Name | Gavin O'sullivan |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 840 Old Grass Valley Rd, Colfax, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588782593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LCSW69682 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gavin O'sullivan, Po Box 133, Colfax, CA 95713-0133 Ph: (530) 217-3575 | Gavin O'sullivan, 840 Old Grass Valley Rd, Colfax, CA 95713-9407 Ph: (530) 217-3575 |
Miss Nicole Lescher, ACSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 110 Pleasant Street, Colfax, CA 95713 Phone: 530-401-2245 | |
Jayne Weir, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 20365 Montana Ln, Colfax, CA 95713 Phone: 562-774-7346 | |
Ms. Judith Gropp, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24121 Milk Ranch Rd, None, Colfax, CA 95713 Phone: 530-305-4663 | |
Nicole Porter, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24995 Ben Taylor Rd, Colfax, CA 95713 Phone: 530-346-3290 |