| Marisa Shanahan, | |
|
2264 Green Hill Rd, Sebastopol, CA 95472-9034 | |
| (707) 823-3385 | |
| Not Available |
| Full Name | Marisa Shanahan |
|---|---|
| Gender | Female |
| Speciality | Marriage And Family Therapist |
| Experience | 4 Years |
| Location | 2264 Green Hill Rd, Sebastopol, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255943080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (NU) | Secondary |
| 106H00000X | Marriage & Family Therapist | (NU) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| County Of Lake | 2466495429 | 12 |
| Entity Name | County of Lake |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326252271 PECOS PAC ID: 2466495429 Enrollment ID: O20050609001101 |
| Mailing Address | Practice Location Address |
|---|---|
| Marisa Shanahan, 2264 Green Hill Rd, Sebastopol, CA 95472-9034 Ph: (707) 823-3385 | Marisa Shanahan, 2264 Green Hill Rd, Sebastopol, CA 95472-9034 Ph: (707) 823-3385 |
Shoshana Rose Davis, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7765 Healdsburg Ave, Sebastopol, CA 95472 Phone: 707-696-9648 |
Katherine Ramsey, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 120 Pleasant Hill Ave N Ste 370c, Sebastopol, CA 95472 Phone: 415-724-3361 |
Nicole Helene O'brien, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6914 Sebastopol Ave, Suite A, Sebastopol, CA 95472 Phone: 707-529-2910 |
Allie M Andrus Mccann, MFT, ATR-BC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 435 Petaluma Ave, #140, Sebastopol, CA 95472 Phone: 707-219-8484 |
Mr. John Alilovich, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 103 Morris St, Suite G, Sebastopol, CA 95472 Phone: 707-824-8401 Fax: 707-824-8301 |
Diana S Poulson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7765 Healdsburg Ave, Sebastopol, CA 95472 Phone: 707-824-4782 |
Erma Kyriakos, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 103 Morris St, Sebastopol, CA 95472 Phone: 415-761-3494 |