Mr Kevin Michael Grace, MSW ASW | |
7101 Baird Ave, Reseda, CA 91335-4150 | |
(818) 342-5897 | |
Not Available |
Full Name | Mr Kevin Michael Grace |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 7101 Baird Ave, Reseda, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366184129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 97954 (California) | Primary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Mr Kevin Michael Grace, MSW ASW 3626 W Avenue 42, Los Angeles, CA 90065-4304 Ph: (213) 909-8384 | Mr Kevin Michael Grace, MSW ASW 7101 Baird Ave, Reseda, CA 91335-4150 Ph: (818) 342-5897 |
Dylan Marcell Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7101 Baird Ave, Reseda, CA 91335 Phone: 818-342-5897 | |
Adriana Ayon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7101 Baird Ave, Reseda, CA 91335 Phone: 818-342-5897 Fax: 818-975-5008 | |
Ms. Sana Khouri, Counselor Medicare: Not Enrolled in Medicare Practice Location: 19231 Victory Blvd Ste 110, Reseda, CA 91335 Phone: 818-708-4500 | |
Mohammad Farrokh Emad, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7232 Camby St, Reseda, CA 91335 Phone: 818-705-5561 | |
Vanessa Silva, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7101 Baird Ave, Reseda, CA 91335 Phone: 818-342-5897 | |
Yelena Staseyeva, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7101 Baird Ave, Reseda, CA 91335 Phone: 818-342-5897 | |
Sam Pow, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7101 Baird Ave, Reseda, CA 91335 Phone: 818-342-5897 Fax: 818-975-5008 |