Mr Joel Mackey, LMHC | |
5539 Deer Run Dr, El Sobrante, CA 94803-3871 | |
(510) 262-0564 | |
Not Available |
Full Name | Mr Joel Mackey |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 5539 Deer Run Dr, El Sobrante, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1518730639 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 18275 (California) | Primary |
101YM0800X | Counselor - Mental Health | 61480738 (Washington) | Secondary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221129001217 |
Mailing Address | Practice Location Address |
---|---|
Mr Joel Mackey, LMHC 5539 Deer Run Dr, El Sobrante, CA 94803-3871 Ph: (510) 262-0564 | Mr Joel Mackey, LMHC 5539 Deer Run Dr, El Sobrante, CA 94803-3871 Ph: (510) 262-0564 |
Vanessa Cofresi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4892 San Pablo Dam Rd, El Sobrante, CA 94803 Phone: 510-236-0444 | |
Gabriela Rodriguez Ruiz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4892 San Pablo Dam Rd, El Sobrante, CA 94803 Phone: 510-222-3946 | |
Chanae Laren Joyner-canty, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4892 San Pablo Dam Rd, El Sobrante, CA 94803 Phone: 510-236-0444 | |
Jennifer Veronica Nunez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4892 San Pablo Dam Rd, El Sobrante, CA 94803 Phone: 510-243-2360 | |
Cherice Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4892 San Pablo Dam Rd, El Sobrante, CA 94803 Phone: 510-243-2360 | |
Mr. Mentu Omowale, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4892 San Pablo Dam Rd, El Sobrante, CA 94803 Phone: 510-236-0444 | |
Emilia Zoe Storrs, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4892 San Pablo Dam Rd, El Sobrante, CA 94803 Phone: 510-222-3946 |