| Jessica Alford, | |
|
4990 Williams Ave, La Mesa, CA 91942-7409 | |
| (196) 668-4200 | |
| (619) 668-1665 |
| Full Name | Jessica Alford |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 4990 Williams Ave, La Mesa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053820043 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LPCC11565 (California) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
| Entity Name | Thriving Lane |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376122515 PECOS PAC ID: 1355741083 Enrollment ID: O20230711002221 |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Alford, 6244 El Cajon Blvd Ste 17, San Diego, CA 92115-3918 Ph: (619) 287-8225 | Jessica Alford, 4990 Williams Ave, La Mesa, CA 91942-7409 Ph: (196) 668-4200 |
Jeremy Buttolph Robson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3845 Avocado School Rd, La Mesa, CA 91941 Phone: 619-588-3653 | |
Sonia Peterson, PH.D. CRC LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8064 Allison Ave # 1563, La Mesa, CA 91942 Phone: 619-559-6646 | |
Miss Vanessa Elayne Farrior I, ASW Counselor Medicare: Not Enrolled in Medicare Practice Location: 4990 Williams Ave, La Mesa, CA 91942 Phone: 619-668-4200 Fax: 619-698-1665 | |
Ms. Helena B Wade, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 4700 Spring St, La Mesa, CA 91942 Phone: 619-591-5740 | |
Brittany Nicole Hartman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4990 Williams Ave, La Mesa, CA 91942 Phone: 619-668-4200 | |
Mr. Jose Armando Gomez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4990 Williams Ave, La Mesa, CA 91942 Phone: 619-668-4200 |