La Tisha Lynn San Pedro-lintag, LMFT 133780 | |
3431 Sly Park Rd, Pollock Pines, CA 95726-9520 | |
(209) 975-7919 | |
Not Available |
Full Name | La Tisha Lynn San Pedro-lintag |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 3431 Sly Park Rd, Pollock Pines, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1487149407 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
Entity Name | Grow Healthcare Group Pc |
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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 |
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La Tisha Lynn San Pedro-lintag, LMFT 133780 Po Box 445, Pollock Pines, CA 95726-0445 Ph: (916) 583-4426 | La Tisha Lynn San Pedro-lintag, LMFT 133780 3431 Sly Park Rd, Pollock Pines, CA 95726-9520 Ph: (209) 975-7919 |
Nastacia Renee Parham, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3950 Garnet Rd, Pollock Pines, CA 95726 Phone: 530-903-8833 | |
Dara Fremont Presley, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2861 Forebay Rd, Pollock Pines, CA 95726 Phone: 530-644-4455 | |
Jessica Spangler, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: Po Box 31, Pollock Pines, CA 95726 Phone: 619-952-5227 |