| Georgina Marie Garza, LPCC 5917 | |
|
3114 Willow Ave Ste 102, Clovis, CA 93612-4750 | |
| (559) 202-3564 | |
| (559) 478-2047 |
| Full Name | Georgina Marie Garza |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 3114 Willow Ave Ste 102, Clovis, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497168348 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Georgina Marie Garza, LPCC 5917 3114 Willow Ave Ste 102, Clovis, CA 93612-4750 Ph: (559) 202-3564 | Georgina Marie Garza, LPCC 5917 3114 Willow Ave Ste 102, Clovis, CA 93612-4750 Ph: (559) 202-3564 |
Andrew William Young, Counselor Medicare: Medicare Enrolled Practice Location: 1271 Jefferson Ave Apt A, Clovis, CA 93612 Phone: 559-579-8052 | |
Saroeun Joanna Johnston, Counselor Medicare: Not Enrolled in Medicare Practice Location: 909 Mckelvy Ave, Clovis, CA 93611 Phone: 559-800-5721 | |
Kayla Bundy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2777 Willow Ave Apt 145, Clovis, CA 93612 Phone: 510-672-8079 | |
Caridad Rodriguez Mason, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1629 Pollasky Ave Ste 106, Clovis, CA 93612 Phone: 559-623-0929 Fax: 559-321-8582 | |
Kirsten Allison Lange, CATC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 2121 Herndon Ave Ste 102, Clovis, CA 93611 Phone: 970-209-7286 Fax: 559-746-7202 | |
Ashley Suzanne Aguirre Holcomb, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3524 Infusion Way, Clovis, CA 93619 Phone: 213-344-9614 | |
Myrick J Wilson Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 1788 Celeste Ave, Clovis, CA 93611 Phone: 559-243-7002 |