| Edmund Jose Bajet, LPCC | |
|
742 10th St, Imperial Beach, CA 91932-2216 | |
| (619) 906-5322 | |
| Not Available |
| Full Name | Edmund Jose Bajet |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 742 10th St, Imperial Beach, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649830795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | APCC5863 (California) | Secondary |
| 101YP2500X | Counselor - Professional | 13497 (California) | Primary |
| Entity Name | Family Health Centers Of San Diego Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
| Entity Name | Community Research Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952328700 PECOS PAC ID: 6800825332 Enrollment ID: O20050804001256 |
| Mailing Address | Practice Location Address |
|---|---|
| Edmund Jose Bajet, LPCC 823 Gateway Center Way, San Diego, CA 92102-4541 Ph: (619) 515-2300 | Edmund Jose Bajet, LPCC 742 10th St, Imperial Beach, CA 91932-2216 Ph: (619) 906-5322 |
Carmen Estela Hernandez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 742 10th St, Imperial Beach, CA 91932 Phone: 619-906-5322 | |
Heather D Abella, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1287 Donax Ave, Imperial Beach, CA 91932 Phone: 505-440-1726 | |
Danielle Brooke Harvey, ASW Counselor Medicare: Not Enrolled in Medicare Practice Location: 740 10th St, Imperial Beach, CA 91932 Phone: 619-515-2300 Fax: 619-296-0903 | |
Alma Guadalupe Paredes, SUD Counselor Medicare: Not Enrolled in Medicare Practice Location: 740 10th St, Imperial Beach, CA 91932 Phone: 619-906-5323 | |
Alonzo Milton Riley, SUDRC Counselor Medicare: Not Enrolled in Medicare Practice Location: 740 10th St, Imperial Beach, CA 91932 Phone: 619-906-5323 Fax: 619-296-0589 | |
Dianna Christine Hansen, LMFT, LAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1340 Imperial Beach Blvd Ste 200, Imperial Beach, CA 91932 Phone: 619-876-6084 Fax: 619-996-6105 | |
Curtis Benedetto, AOD Counselor Medicare: Not Enrolled in Medicare Practice Location: 740 10th St, Imperial Beach, CA 91932 Phone: 619-515-2300 Fax: 619-296-0903 |