| Jeremy Acevedo, | |
| 1303 E Grand Ave, Arroyo Grande, CA 93420-2460 | |
| (805) 242-3178 | |
| Not Available | 
| Full Name | Jeremy Acevedo | 
|---|---|
| Gender | Male | 
| Speciality | Counselor | 
| Location | 1303 E Grand Ave, Arroyo Grande, California | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1891033544 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary | 
| Entity Name | Lags Recovery Centers, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1033665526 PECOS PAC ID: 2365844206 Enrollment ID: O20220707001799 | 
| Entity Name | Grow Healthcare Group Pc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jeremy Acevedo, 1017 N Concepcion Ave, Santa Maria, CA 93454-2321 Ph: () - | Jeremy Acevedo, 1303 E Grand Ave, Arroyo Grande, CA 93420-2460 Ph: (805) 242-3178 | 
| Tania Resendiz,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 354 S Halcyon Rd, Arroyo Grande, CA 93420 Phone: 805-473-7142 | |
| Rebecca A Dominguez, MSW, PPSC Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 Crown Hill St, Arroyo Grande, CA 93420 Phone: 805-474-3500 | |
| Jenna Mccarriston,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 227 S Halcyon Rd Ste 101, Arroyo Grande, CA 93420 Phone: 805-801-2231 | |
| Lesley Andrews-wise,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 354 S Halcyon Rd, Arroyo Grande, CA 93420 Phone: 805-473-7060 Fax: 805-473-7124 | |
| Joanna Onato-molina,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 495 Valley Rd, Arroyo Grande, CA 93420 Phone: 805-474-3200 | |
| Mrs. Melisha Fay Gifford,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 354 S Halcyon Rd, Arroyo Grande, CA 93420 Phone: 805-473-7158 | |
| Dr. Elizabeth Ann Mccain Briggs, PSYD, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2570 Paul Pl, Arroyo Grande, CA 93420 Phone: 805-996-0595 |