| Dr Jacey Saucedo Coy, PSYD, LMFT | |
|
3434 Grove St, Lemon Grove, CA 91945-1812 | |
| (619) 281-3706 | |
| (619) 281-3714 |
| Full Name | Dr Jacey Saucedo Coy |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 3434 Grove St, Lemon Grove, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083900070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT 53665 (California) | Primary |
| Entity Name | Charlie Blue Therapy Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255106340 PECOS PAC ID: 4385082965 Enrollment ID: O20240402000773 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jacey Saucedo Coy, PSYD, LMFT 3434 Grove St, Lemon Grove, CA 91945-1812 Ph: (619) 281-3706 | Dr Jacey Saucedo Coy, PSYD, LMFT 3434 Grove St, Lemon Grove, CA 91945-1812 Ph: (619) 281-3706 |
Ms. Gina Marie Janc, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3434 Grove St, Lemon Grove, CA 91945 Phone: 619-797-1090 | |
Jaye A C Weber, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3434 Grove St, Lemon Grove, CA 91945 Phone: 619-889-6041 | |
Cassie Dove, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2049 Skyline Dr, Lemon Grove, CA 91945 Phone: 619-465-7303 | |
Bradfield Calvin Sampica, M.S. MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3434 Grove St, Lemon Grove, CA 91945 Phone: 619-281-3706 | |
Mr. David Najera, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7737 Pacific Ave, Lemon Grove, CA 91945 Phone: 619-741-0624 | |
Mia Najor, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8337 Mount Vernon St, Lemon Grove, CA 91945 Phone: 619-261-8531 |