| Jennifer Boules-syta, | |
|
2271 Alpine Blvd Ste A, Alpine, CA 91901-1101 | |
| (888) 688-0248 | |
| Not Available |
| Full Name | Jennifer Boules-syta |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 2271 Alpine Blvd Ste A, Alpine, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699300194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 117984 (California) | Primary |
| Entity Name | Fusion Care Group A Psychological Professional Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275177982 PECOS PAC ID: 8921433590 Enrollment ID: O20200109000932 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Boules-syta, Po Box 11, Camarillo, CA 93011-0011 Ph: () - | Jennifer Boules-syta, 2271 Alpine Blvd Ste A, Alpine, CA 91901-1101 Ph: (888) 688-0248 |
Alexa K Hall, ASW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4058 Willows Rd, Alpine, CA 91901 Phone: 619-445-1188 | |
Yezenia Arali Vargas, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2271 Alpine Blvd Ste A, Alpine, CA 91901 Phone: 626-991-5592 | |
Corinne Odom, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2271 Alpine Blvd Ste A, Alpine, CA 91901 Phone: 888-688-0248 | |
Mrs. Cybill Bowens-vargas, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2271 Alpine Blvd Ste A, Alpine, CA 91901 Phone: 951-733-1371 | |
Suzanne Lafleur, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2271 Alpine Blvd Ste A, Alpine, CA 91901 Phone: 888-688-9248 | |
Ms. Sherise Natalia Stark, MSW, PPS, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8770 Harbison Canyon Rd, Alpine, CA 91901 Phone: 619-445-2977 |