| Deitra Dean Mcmahon, | |
|
700 Frederick St Ste C, Santa Cruz, CA 95062-2239 | |
| (831) 996-1222 | |
| Not Available |
| Full Name | Deitra Dean Mcmahon |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 700 Frederick St Ste C, Santa Cruz, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780204842 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | ASW85759 (California) | Primary |
| Entity Name | Salud Para La Gente |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730169756 PECOS PAC ID: 8729984729 Enrollment ID: O20031210000627 |
| Mailing Address | Practice Location Address |
|---|---|
| Deitra Dean Mcmahon, Po Box 7691, Santa Cruz, CA 95061-7691 Ph: () - | Deitra Dean Mcmahon, 700 Frederick St Ste C, Santa Cruz, CA 95062-2239 Ph: (831) 996-1222 |
Mr. Craig Alan Murray, MFTI Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000a, 1010c Emeline Ave., Santa Cruz, CA 95060 Phone: 831-425-0112 Fax: 831-425-1847 | |
Chandra Holmes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 542 Ocean St, Suite K, Santa Cruz, CA 95060 Phone: 831-459-0444 Fax: 831-459-0665 | |
Deborah Lisa Helms, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 Soquel Ave, #260, Office A, Santa Cruz, CA 95062 Phone: 831-345-2383 | |
Ms. C. Mary Corey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 Potrero St, #42-103, Santa Cruz, CA 95060 Phone: 831-466-9307 Fax: 831-466-9748 | |
Joshua Schwartz, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 104 S Park Way, Santa Cruz, CA 95062 Phone: 831-818-3346 | |
Teresa Maria Mcinerney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 380 Encinal St Ste 200, Santa Cruz, CA 95060 Phone: 831-425-1905 | |
Caroline Smith, AMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 127 Jewell St, Santa Cruz, CA 95060 Phone: 831-508-0005 |