| Ashley Nicholle Amarillas, MFT | |
|
1620 Cummins Dr, Modesto, CA 95358-6400 | |
| (209) 576-1750 | |
| Not Available |
| Full Name | Ashley Nicholle Amarillas |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 1620 Cummins Dr, Modesto, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629522701 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 10YP2500X (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | 123999 (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 |
|---|---|
| Ashley Nicholle Amarillas, MFT 300 Pullman St, Livermore, CA 94551-9756 Ph: () - | Ashley Nicholle Amarillas, MFT 1620 Cummins Dr, Modesto, CA 95358-6400 Ph: (209) 576-1750 |
Roberta Margaret Elledge, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 819 15th St, Modesto, CA 95354 Phone: 209-549-9608 Fax: 209-522-5700 | |
Paige A Cole, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 121 Downey Ave, Modesto, CA 95354 Phone: 559-577-6995 | |
Ana Lisette Santos, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1400 K St Ste B, Modesto, CA 95354 Phone: 209-550-5869 Fax: 209-523-0442 | |
Mr. Pete Herron, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 615 13th St, Modesto, CA 95354 Phone: 209-380-3187 Fax: 209-846-0913 | |
Emily Jane Mitchell, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 500 N 9th St Ste C, Modesto, CA 95350 Phone: 209-552-2720 | |
Mrs. Pamela Christine Remides, MFT TRAINEE Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 615 14th St, Modesto, CA 95354 Phone: 209-524-4858 | |
Elisa Aileen Gonzalez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5815 Stoddard Rd Ste 600, Modesto, CA 95356 Phone: 209-348-9786 |