| Carrissa Michelle Daino Jones, | |
|
916 N Western Ave Ste 210, San Pedro, CA 90732-2407 | |
| (310) 957-2099 | |
| Not Available |
| Full Name | Carrissa Michelle Daino Jones |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 916 N Western Ave Ste 210, San Pedro, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629690334 | NPI | - | NPPES |
| 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 |
|---|---|
| Carrissa Michelle Daino Jones, 1638 Huntington Dr Apt D, South Pasadena, CA 91030-4741 Ph: (916) 690-2404 | Carrissa Michelle Daino Jones, 916 N Western Ave Ste 210, San Pedro, CA 90732-2407 Ph: (310) 957-2099 |
Kristi Fonseca, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 222 W 6th St Ste 230, San Pedro, CA 90731 Phone: 310-833-3135 Fax: 310-707-2877 | |
Erica Ann Wicke, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1852 Barrywood Ave, San Pedro, CA 90731 Phone: 714-273-8580 | |
Derrick Knight, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 732 Shepard St, San Pedro, CA 90731 Phone: 213-373-3067 | |
Mr. Ricci Michael Riveron, M.F.T.I. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 599 W 9th St, San Pedro, CA 90731 Phone: 310-831-0006 Fax: 310-831-0004 | |
Mallory Lorraine Molle, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 555 W 9th St Ste 5, San Pedro, CA 90731 Phone: 424-287-7567 | |
Leonor Guerrero, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1360 W 6th St Ste 205, San Pedro, CA 90732 Phone: 310-833-3135 Fax: 310-707-2877 | |
Jill Vermeire, M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 916 N Western Ave Ste 210, San Pedro, CA 90732 Phone: 310-751-0509 |