| Marlayna Elizabeth Rattanapote, LPCC | |
|
120 Birmingham Dr Ste 240a, Cardiff, CA 92007-1757 | |
| (858) 208-0121 | |
| Not Available |
| Full Name | Marlayna Elizabeth Rattanapote |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 18 Years |
| Location | 120 Birmingham Dr Ste 240a, Cardiff, 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 |
|---|---|---|---|
| 1689816837 | NPI | - | NPPES |
| 36384267 | Medicaid | NM |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sud Specialty Group - Ca | 9537534177 | 456 |
| Entity Name | Sud Specialty Group - Ca |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370 |
| Mailing Address | Practice Location Address |
|---|---|
| Marlayna Elizabeth Rattanapote, LPCC 776 Sapphire St, San Diego, CA 92109-1054 Ph: (858) 414-3651 | Marlayna Elizabeth Rattanapote, LPCC 120 Birmingham Dr Ste 240a, Cardiff, CA 92007-1757 Ph: (858) 208-0121 |
Marlin Reyes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Birmingham Dr Ste 240a, Cardiff, CA 92007 Phone: 858-208-0121 | |
Shurene Larae Premo, ACSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Birmingham Dr # 240a, Cardiff, CA 92007 Phone: 858-208-0121 Fax: 858-381-9768 | |
Miss Kim Ann Egel, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2047 San Elijo Ave, Cardiff, CA 92007 Phone: 760-274-4649 | |
Lisette Torres, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Birmingham Dr Ste 240a, Cardiff, CA 92007 Phone: 858-208-0121 Fax: 858-381-9768 | |
Jeremy Michael Rice, ACSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Birmingham Dr Ste 240a, Cardiff, CA 92007 Phone: 858-208-0121 Fax: 858-381-9768 | |
Mr. Nicholas Howard Munoz, SUDCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Birmingham Dr Ste 240a, Cardiff, CA 92007 Phone: 858-208-0121 | |
Jose Torres Almeraya, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Birmingham Dr Ste 240a, Cardiff, CA 92007 Phone: 858-208-0121 |