| Mrs Yelena Zaitseva Lavender, LCSW74244 | |
|
455 K Street, Crescent City, CA 95531 | |
| (707) 951-4317 | |
| Not Available |
| Full Name | Mrs Yelena Zaitseva Lavender |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 455 K Street, Crescent City, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447638044 | NPI | - | NPPES |
| 101YM0800X | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (California) | Primary |
| Entity Name | County Of Del Norte |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790801116 PECOS PAC ID: 8527073949 Enrollment ID: O20060207000238 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Yelena Zaitseva Lavender, LCSW74244 455 K St, Crescent City, CA 95531-4107 Ph: (707) 464-7224 | Mrs Yelena Zaitseva Lavender, LCSW74244 455 K Street, Crescent City, CA 95531 Ph: (707) 951-4317 |
Amanda Sharp, Counselor Medicare: Not Enrolled in Medicare Practice Location: 994 G St, Crescent City, CA 95531 Phone: 707-464-0320 | |
Celia Perez, ACSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 418 9th St, Crescent City, CA 95531 Phone: 707-460-6391 | |
Shanice Kaitlyn Jaye Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2298 Norris Ave, Crescent City, CA 95531 Phone: 707-464-2919 | |
Ger Xiong, Counselor Medicare: Not Enrolled in Medicare Practice Location: 370 9th St, Crescent City, CA 95531 Phone: 707-464-4349 Fax: 707-464-4572 | |
William Bowden, Counselor Medicare: Not Enrolled in Medicare Practice Location: 455 K St, Crescent City, CA 95531 Phone: 707-464-7224 | |
Rea Ann Cadjew Beard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 455 K St, Crescent City, CA 95531 Phone: 707-464-7224 Fax: 707-465-0855 | |
Rebecca Ann Lawrence, LMFT, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 2721 Alder Rd, Crescent City, CA 95531 Phone: 707-464-6477 |