| Jared Bryson, IMFT | |
|
31681 Riverside Dr, Suite L, Lake Elsinore, CA 92530-7815 | |
| (951) 674-9243 | |
| (951) 674-9635 |
| Full Name | Jared Bryson |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 31681 Riverside Dr, Lake Elsinore, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295988319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 56726 (California) | Primary |
| Entity Name | Center For New Directions, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578121190 PECOS PAC ID: 9335475870 Enrollment ID: O20190722003529 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Bryson, IMFT 31681 Riverside Dr, Suite L, Lake Elsinore, CA 92530-7815 Ph: (951) 674-9243 | Jared Bryson, IMFT 31681 Riverside Dr, Suite L, Lake Elsinore, CA 92530-7815 Ph: (951) 674-9243 |
Marixa Aguirre, Counselor Medicare: Not Enrolled in Medicare Practice Location: 265 San Jacinto River Rd, Suite 107, Lake Elsinore, CA 92530 Phone: 951-674-9243 Fax: 951-674-9635 | |
Mrs. Nicole Elemento Tatunay, Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Central Avenue, E1, Lake Elsinore, CA 92530 Phone: 951-471-1426 Fax: 951-471-1453 | |
Pamela Catherine Paslay, Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Central Ave Ste E1, Lake Elsinore, CA 92530 Phone: 951-471-1426 Fax: 951-471-1453 | |
Stephanie Rojas Cordon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 265 San Jacinto River Rd, Suite 107, Lake Elsinore, CA 92530 Phone: 951-674-9243 Fax: 951-674-9635 | |
Mr. Misael Castillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Central Ave Ste E1, Lake Elsinore, CA 92530 Phone: 951-471-1426 Fax: 951-471-1453 | |
Jasmine J Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 265 San Jacinto River Rd, Lake Elsinore, CA 92530 Phone: 951-674-9243 Fax: 951-674-9635 | |
Shalin Kent, Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 3rd St, Lake Elsinore, CA 92530 Phone: 951-216-7300 Fax: 951-216-7333 |