| Amy Grace Canton, | |
|
411 Alameda Del Prado, Novato, CA 94949-6302 | |
| (415) 302-2835 | |
| Not Available |
| Full Name | Amy Grace Canton |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 411 Alameda Del Prado, Novato, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821536657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | I88065 (California) | Primary |
| Entity Name | County Of Marin |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912116252 PECOS PAC ID: 1153225065 Enrollment ID: O20031121000810 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Grace Canton, 411 Alameda Del Prado, Novato, CA 94949-6302 Ph: (415) 302-2835 | Amy Grace Canton, 411 Alameda Del Prado, Novato, CA 94949-6302 Ph: (415) 302-2835 |
Mr. Marc Jay Doshay, M.A., MFTI Counselor Medicare: Not Enrolled in Medicare Practice Location: 680 Wilson Ave, Novato, CA 94947 Phone: 415-892-1643 Fax: 415-892-5098 | |
Megan Latrice Bagby, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1385 N Hamilton Pkwy, Novato, CA 94949 Phone: 415-382-3363 | |
Sarah Fox, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Center Rd, Novato, CA 94947 Phone: 415-493-4369 | |
Esther Sudmersen, PPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 45 San Ramon Way, Novato, CA 94945 Phone: 415-897-1196 | |
Alicia Feaster, MTS Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 Redhawk Rd, Novato, CA 94949 Phone: 415-883-2908 | |
Debra May Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 7th St, Novato, CA 94945 Phone: 415-897-7195 | |
Amanda Massinople, PPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1430 Johnson St, Novato, CA 94947 Phone: 415-493-4539 |