| Michael Kington, | |
|
1103 Toro St, San Luis Obispo, CA 93401-3329 | |
| (805) 781-4190 | |
| Not Available |
| Full Name | Michael Kington |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 1103 Toro St, San Luis Obispo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023186236 | NPI | - | NPPES |
| MFC28520 | Other | CA | MARRIAGE & FAMILY THERAPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC28520 (California) | Primary |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| 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 |
|---|---|
| Michael Kington, 1103 Toro St, San Luis Obispo, CA 93401-3329 Ph: () - | Michael Kington, 1103 Toro St, San Luis Obispo, CA 93401-3329 Ph: (805) 781-4190 |
Bethany J Shakespeare, MS, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2975 Mcmillan Ave Ste 164, San Luis Obispo, CA 93401 Phone: 805-439-4890 | |
Callie Rose Boller, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2178 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-781-4700 | |
Susie Juliana Bautista, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2178 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-781-4960 | |
Nasseem Amelia Berkman, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2975 Mcmillan Ave Ste 160, San Luis Obispo, CA 93401 Phone: 805-781-4855 | |
Ms. Lynn N. Swanson, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11573 Los Osos Valley Rd, Suite D, San Luis Obispo, CA 93405 Phone: 805-541-1434 | |
Pamela Kremza, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 508 Higuera St, San Luis Obispo, CA 93401 Phone: 626-991-0047 |