| Meagen Boulay, LMFT | |
|
11090 De Anza Rd, Victorville, CA 92392-1826 | |
| (760) 533-0442 | |
| Not Available |
| Full Name | Meagen Boulay |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 11090 De Anza Rd, Victorville, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932855608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LMFT109452 (California) | Primary |
| Entity Name | Southern California Permanente Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823 |
| Mailing Address | Practice Location Address |
|---|---|
| Meagen Boulay, LMFT Po Box 292353, Phelan, CA 92329-2353 Ph: (760) 533-0442 | Meagen Boulay, LMFT 11090 De Anza Rd, Victorville, CA 92392-1826 Ph: (760) 533-0442 |
Marshe Shona Marshall, AMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 14075 Hesperia Rd Ste 105, Victorville, CA 92395 Phone: 760-964-7116 | |
Melinda Cortez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 15534 6th St, Victorville, CA 92395 Phone: 760-241-4917 Fax: 760-241-8911 | |
Mrs. Eugenia Pinheiro, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14201 Kentwood Blvd Ste 2, Victorville, CA 92392 Phone: 760-253-1834 Fax: 760-267-9109 | |
Miss Lydia Deanne Velasquez, CADC I Counselor Medicare: Not Enrolled in Medicare Practice Location: 13333 Palmdale Rd, Victorville, CA 92392 Phone: 760-241-4917 Fax: 760-951-7967 | |
Yvette Hammer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13333 Palmdale Rd, Victorville, CA 92392 Phone: 760-241-4917 Fax: 760-241-8911 | |
Abiala Tabitha Gill, BS., MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 14360 Saint Andrews Dr, Suite 7, Victorville, CA 92395 Phone: 760-780-4750 Fax: 760-245-5896 | |
Alicia Kay Mcdonell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12625 Hesperia Rd, Victorville, CA 92395 Phone: 760-995-8300 Fax: 760-955-2356 |