| Emma Frances Diemoz, | |
|
1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 | |
| (707) 559-7500 | |
| (707) 559-7707 |
| Full Name | Emma Frances Diemoz |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1179 N Mcdowell Blvd, Petaluma, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568078921 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Petaluma Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588656268 PECOS PAC ID: 9133180375 Enrollment ID: O20050315000415 |
| Mailing Address | Practice Location Address |
|---|---|
| Emma Frances Diemoz, 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 Ph: (707) 559-7500 | Emma Frances Diemoz, 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 Ph: (707) 559-7500 |
Kelsey Gielen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 365 Kuck Ln, Petaluma, CA 94952 Phone: 707-795-6954 | |
Mariah Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 755 Baywood Dr Fl 2, Petaluma, CA 94954 Phone: 707-888-4157 | |
Kati Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3539 Skillman Ln, Petaluma, CA 94952 Phone: 707-765-6555 | |
Kaitlyn D Henris, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5350 Old Redwood Hwy, Suite 600, Petaluma, CA 94954 Phone: 707-565-1270 | |
Gary Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3539 Skillman Ln, Petaluma, CA 94952 Phone: 707-765-6555 | |
Martha Lynn Coogan, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1336 Skillman Ln, Petaluma, CA 94952 Phone: 707-787-4720 | |
Erin Ellen Ahern, CAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1355 Industrial Ave, Petaluma, CA 94952 Phone: 707-776-4670 Fax: 707-544-9011 |