| Khristian Durham, | |
|
1910 Hillhurst Ave, Los Angeles, CA 90027-2712 | |
| (626) 541-7829 | |
| Not Available |
| Full Name | Khristian Durham |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1910 Hillhurst Ave, Los Angeles, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144987694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | APCC8571 (California) | Secondary |
| 101YP2500X | Counselor - Professional | LPCC13759 (California) | Primary |
| 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 |
|---|---|
| Khristian Durham, 2004 Barham Ave, West Covina, CA 91792-1513 Ph: () - | Khristian Durham, 1910 Hillhurst Ave, Los Angeles, CA 90027-2712 Ph: (626) 541-7829 |
Angelica Oropeza, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 Wilshire Blvd, Los Angeles, CA 90017 Phone: 213-481-7464 Fax: 213-481-7147 | |
Tanya Sanderlin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1147 S Alvarado St, Los Angeles, CA 90006 Phone: 213-381-8518 | |
Lionela Evers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5151 S Western Ave, Los Angeles, CA 90062 Phone: 818-997-6876 | |
Lori Miller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 E 7th St, Los Angeles, CA 90021 Phone: 213-537-0110 Fax: 213-537-0880 | |
Kesha Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3761 Stocker St Ste 105, Los Angeles, CA 90008 Phone: 323-294-4261 | |
Genevieve Giselle Simari, PSY.D Counselor Medicare: Not Enrolled in Medicare Practice Location: 3787 S Vermont Ave, Los Angeles, CA 90007 Phone: 323-766-2345 | |
Sarah M. Powell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12714 Avalon Blvd, Los Angeles, CA 90061 Phone: 323-242-5000 |