| Mr Jack Roy Bohanon, MFT | |
|
703 Welch Rd, Ste. F6, Palo Alto, CA 94304-1710 | |
| (650) 599-2262 | |
| (650) 625-1551 |
| Full Name | Mr Jack Roy Bohanon |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 703 Welch Rd, Palo Alto, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508947706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MFC29822 (California) | Primary |
| 106H00000X | Marriage & Family Therapist | MFC29822 (California) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jack Roy Bohanon, MFT 123 Gladys Ave, Mountain View, CA 94043-3967 Ph: (650) 599-2262 | Mr Jack Roy Bohanon, MFT 703 Welch Rd, Ste. F6, Palo Alto, CA 94304-1710 Ph: (650) 599-2262 |
Brenda Salcedo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 Clark Way, Palo Alto, CA 94304 Phone: 650-617-3834 | |
Mrs. Tatiana Buch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 Middlefield Rd, Palo Alto, CA 94301 Phone: 857-275-5659 | |
Dr. Stacy Duffy, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 555 Middlefield Rd # 210, Palo Alto, CA 94301 Phone: 650-485-3812 | |
Leonardo Naresh Juarez Diaz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2741 Middlefield Rd Ste 102, Palo Alto, CA 94306 Phone: 650-798-6330 | |
Jasmine Pereira, Counselor Medicare: Not Enrolled in Medicare Practice Location: 652 Forest Ave, Palo Alto, CA 94301 Phone: 650-323-1401 Fax: 408-642-6052 | |
Elisabeth Myers Dutton, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 260 Sheridan Ave Ste 214, Palo Alto, CA 94306 Phone: 650-746-4230 | |
Dr. Olivia Kathleen Mazur Mcdonald, PSY.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 650 Clark Way, Palo Alto, CA 94304 Phone: 650-326-5530 |