Aaron Broadus, | |
455 1st St, Woodland, CA 95695-4023 | |
(530) 662-2211 | |
Not Available |
Full Name | Aaron Broadus |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 455 1st St, Woodland, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013473446 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 109356 (California) | Secondary |
106H00000X | Marriage & Family Therapist | 109356 (California) | Primary |
Entity Name | Permanente Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
Mailing Address | Practice Location Address |
---|---|
Aaron Broadus, 455 1st St, Woodland, CA 95695-4023 Ph: () - | Aaron Broadus, 455 1st St, Woodland, CA 95695-4023 Ph: (530) 662-2211 |
Elizabeth Martin, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1003 Court St, Woodland, CA 95695 Phone: 530-341-3398 | |
Kali Paredes, LMFT 104309 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 285 4th St, Woodland, CA 95695 Phone: 530-662-2699 | |
Emma Catherine Latuno, Couples Therapy Medicare: Medicare Enrolled Practice Location: 137 N Cottonwood St, Woodland, CA 95695 Phone: 530-980-1845 | |
Mario Gallegati, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 137 N Cottonwood St, Woodland, CA 95695 Phone: 530-757-5530 | |
Antoinette O'neill, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 455 1st St, Woodland, CA 95695 Phone: 530-662-2211 Fax: 530-662-4315 | |
Linda Hernandez Fogle, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 25 N Cottonwood St, Woodland, CA 95695 Phone: 530-661-2634 | |
Cheri Tsai, Couples Therapy Medicare: Medicare Enrolled Practice Location: 2116 Mcconnel Pl, Woodland, CA 95776 Phone: 415-857-5638 |