| Mark Cutmore, LCSW | |
|
901 Nevin Ave, Richmond, CA 94801-3143 | |
| (510) 307-1591 | |
| (510) 307-1615 |
| Full Name | Mark Cutmore |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 901 Nevin Ave, Richmond, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922159003 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LCS 21431 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Cutmore, LCSW 2340 Ward St Ste 202, Berkeley, CA 94705-1147 Ph: () - | Mark Cutmore, LCSW 901 Nevin Ave, Richmond, CA 94801-3143 Ph: (510) 307-1591 |
Oliver Maurice Henderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 820 23rd St, Richmond, CA 94804 Phone: 510-229-5000 Fax: 510-235-3112 | |
Layne Courtney Hamilton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 37th St, Richmond, CA 94805 Phone: 510-233-7555 | |
Chomsanith Phouangkeo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3905 Macdonald Ave, Richmond, CA 94805 Phone: 510-233-7555 Fax: 510-233-4545 | |
Nicole Vanessa Valentino, Counselor Medicare: Not Enrolled in Medicare Practice Location: 303 41st St, Richmond, CA 94805 Phone: 510-374-7392 | |
Jodi Louise Reiter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2500 Bissell Ave, Richmond, CA 94804 Phone: 510-235-1516 | |
Juan Jose Bolanos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12960 San Pablo Ave, Richmond, CA 94805 Phone: 510-215-2280 Fax: 510-215-2283 | |
Jenna Donatelli, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1313 Cutting Blvd, Richmond, CA 94804 Phone: 510-232-0874 |