| Kenzie Lee Ward, | |
|
2618 Tim Bell Rd, Waterford, CA 95386-8734 | |
| (209) 484-4843 | |
| Not Available |
| Full Name | Kenzie Lee Ward |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2618 Tim Bell Rd, Waterford, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790255214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 18074 (California) | Primary |
| Entity Name | Mindful Lemon Marriage And Family Therapy Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487324463 PECOS PAC ID: 8921499096 Enrollment ID: O20211228000411 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenzie Lee Ward, 2618 Tim Bell Rd, Waterford, CA 95386-8734 Ph: () - | Kenzie Lee Ward, 2618 Tim Bell Rd, Waterford, CA 95386-8734 Ph: (209) 484-4843 |
Felicia Denise Zapien, Counselor Medicare: Not Enrolled in Medicare Practice Location: 128 S Western Ave Apt 24, Waterford, CA 95386 Phone: 209-581-1805 | |
Ms. Constance Elaine Thorsnes, M.A., LMFT Counselor Medicare: Medicare Enrolled Practice Location: 414 Tisdell Dr, Waterford, CA 95386 Phone: 510-812-4700 | |
Kendra Gomez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12123 Fearl Dr, Waterford, CA 95386 Phone: 209-874-9506 |