Abagail Rose Waight, MS | |
18700 Oxnard St, Tarzana, CA 91356-1413 | |
(818) 654-3950 | |
Not Available |
Full Name | Abagail Rose Waight |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 18700 Oxnard St, Tarzana, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598320103 | NPI | - | NPPES |
MXD840427499 | Other | TX | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Entity Name | Soultenders Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164617007 PECOS PAC ID: 6507170453 Enrollment ID: O20150917001766 |
Mailing Address | Practice Location Address |
---|---|
Abagail Rose Waight, MS 6200 De Soto Ave Apt 35307, Woodland Hills, CA 91367-0204 Ph: (215) 285-9998 | Abagail Rose Waight, MS 18700 Oxnard St, Tarzana, CA 91356-1413 Ph: (818) 654-3950 |
Kristen Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-996-1051 Fax: 818-345-3778 | |
Monica E Juarez, MS COUNSELING Counselor Medicare: Not Enrolled in Medicare Practice Location: 5255 Etiwanda Ave., Suite 212, Tarzana, CA 91356 Phone: 818-201-9741 Fax: 818-708-5455 | |
Nicole Marian Johnstone, RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-654-3950 | |
Gregory Paul Walsh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-996-1051 | |
Sara Andrea Vides, RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-996-1051 | |
Miss Shannon Mehdian, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 310-422-8991 | |
Alene Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 18646 Oxnard St, Tarzana, CA 91356 Phone: 818-996-1051 |