| Autumn Matthews, | |
|
100 Poplar Ave, Modesto, CA 95354-0510 | |
| (209) 523-4573 | |
| Not Available |
| Full Name | Autumn Matthews |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 100 Poplar Ave, 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 |
|---|---|---|---|
| 1336682517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | MFTI 95821 (California) | Primary |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Entity Name | Sud Specialty Group - Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370 |
| Entity Name | Forward Wellness Family Therapy Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093398059 PECOS PAC ID: 9739546144 Enrollment ID: O20230530002815 |
| Mailing Address | Practice Location Address |
|---|---|
| Autumn Matthews, 16424 Delwood Ct, Delhi, CA 95315-9531 Ph: () - | Autumn Matthews, 100 Poplar Ave, Modesto, CA 95354-0510 Ph: (209) 523-4573 |
Amber Nicole Allred, IMF Counselor Medicare: Not Enrolled in Medicare Practice Location: 1400 K St, Modesto, CA 95354 Phone: 209-550-5869 | |
Virginia A. Horton, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2020 Coffee Road, Suite H-4, Modesto, CA 95355 Phone: 209-613-4255 Fax: 209-567-1015 | |
Natalie Rahe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 Coffee Rd, Modesto, CA 95355 Phone: 209-554-6808 | |
Crystal A Gonzalez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 121 Downey Ave, Modesto, CA 95354 Phone: 209-341-1824 | |
Chase Fetzer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2000 W Briggsmore Ave, Modesto, CA 95350 Phone: 209-526-1476 | |
Nereida Lomeli, MFT-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Tully Rd, Ste F, Modesto, CA 95350 Phone: 209-576-1750 Fax: 209-576-1768 | |
Cynthia Marie Mccleary, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1620 Cummins Dr, Modesto, CA 95358 Phone: 209-622-1420 |