| Michelle Leanne Palacios, APCC | |
|
601 Palm Ave, Lodi, CA 95240-0919 | |
| (209) 333-0971 | |
| Not Available |
| Full Name | Michelle Leanne Palacios |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 601 Palm Ave, Lodi, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316572423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | APCC7382 (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 |
|---|---|
| Michelle Leanne Palacios, APCC 601 Palm Ave, Lodi, CA 95240-0919 Ph: () - | Michelle Leanne Palacios, APCC 601 Palm Ave, Lodi, CA 95240-0919 Ph: (209) 333-0971 |
Esperanza Gonzales, Counselor Medicare: Not Enrolled in Medicare Practice Location: 541 S Ham Ln Ste A&b, Lodi, CA 95242 Phone: 209-224-8940 | |
Mr. Harry R Meeks Jr., AMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 315 W Pine St Ste 3, Lodi, CA 95240 Phone: 209-366-2273 | |
David Canton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 541 S Ham Ln, Lodi, CA 95242 Phone: 209-224-8940 | |
Carol Jacinto, Counselor Medicare: Not Enrolled in Medicare Practice Location: 541 S Ham Ln Ste A&b, Lodi, CA 95242 Phone: 209-224-8940 | |
Jane Knox, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12755 N Highway 88, Lodi, CA 95240 Phone: 209-340-5800 Fax: 209-340-5804 | |
Evelyn Gonzalez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12755 N Highway 88, Lodi, CA 95240 Phone: 209-340-5800 | |
Ms. Jennifer Preap, Counselor Medicare: Not Enrolled in Medicare Practice Location: 541 S Ham Ln Ste B, Lodi, CA 95242 Phone: 209-224-8940 |