| Cole Sebastian Berry, | |
|
360 Whiskey Hill Rd, La Selva Bch, CA 95076-8521 | |
| (831) 724-9333 | |
| Not Available |
| Full Name | Cole Sebastian Berry |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 360 Whiskey Hill Rd, La Selva Bch, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619101243 | NPI | - | NPPES |
| ZZZ91892Z | Other | SANTA CRUZ COUNTY MEDICARE GROUP PTAN# |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Cole Sebastian Berry, 360 Whiskey Hill Rd, La Selva Bch, CA 95076-8521 Ph: () - | Cole Sebastian Berry, 360 Whiskey Hill Rd, La Selva Bch, CA 95076-8521 Ph: (831) 724-9333 |
Michael Morris-nix, Counselor Medicare: Not Enrolled in Medicare Practice Location: 360 Whiskey Hill Rd, La Selva Bch, CA 95076 Phone: 831-724-9333 | |
Donald Steven Hunt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9c Marea Ave, La Selva Bch, CA 95076 Phone: 831-688-6293 | |
Mr. Tyrone Kahoku Kwai Chun Fu, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9c Marea Ave, La Selva Bch, CA 95076 Phone: 831-688-6293 | |
Frieda Violet Stacho, Counselor Medicare: Not Enrolled in Medicare Practice Location: 9c Marea Ave, La Selva Bch, CA 95076 Phone: 831-688-6293 |