| Brianna Guizar, | |
|
4300 Sonoma Blvd Ste 25, Vallejo, CA 94589-2276 | |
| (707) 561-7150 | |
| Not Available |
| Full Name | Brianna Guizar |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 4300 Sonoma Blvd Ste 25, Vallejo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548683741 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCSW115722 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Brianna Guizar, 4760 Sepulveda Blvd, Culver City, CA 90230-4820 Ph: () - | Brianna Guizar, 4300 Sonoma Blvd Ste 25, Vallejo, CA 94589-2276 Ph: (707) 561-7150 |
Leata Jeames, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2201 Tuolumne St, Vallejo, CA 94589 Phone: 707-558-1777 Fax: 707-558-1770 | |
Ned L Jacobs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1017 Tennessee St, Vallejo, CA 94590 Phone: 707-647-1520 | |
Tiffany Marie Tyler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 908 Tuolumne St, Vallejo, CA 94590 Phone: 707-648-8121 Fax: 707-648-8129 | |
Michelle Reneta Ortiz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 126 Ohio St, Vallejo, CA 94590 Phone: 415-707-2577 Fax: 707-644-5501 | |
Tanesha Nixon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 627 Grant St, Vallejo, CA 94590 Phone: 707-553-1042 | |
Debra Marrama, PROGRAM DIRECTOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 3467 Edgewater Pl, Vallejo, CA 94591 Phone: 707-732-8105 Fax: 707-667-0010 | |
Mr. Bjay Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 236 Georgia Street, Vallejo, CA 94590 Phone: 510-229-2786 |