Ms Lisa Cull, | |
242 N Villa Ave, Willows, CA 95988-2641 | |
(530) 934-6582 | |
Not Available |
Full Name | Ms Lisa Cull |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 242 N Villa Ave, Willows, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023338191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 85658 (California) | Primary |
106H00000X | Marriage & Family Therapist | 64472 (California) | Secondary |
Entity Name | County Of Glenn |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427196617 PECOS PAC ID: 9739341074 Enrollment ID: O20120502000231 |
Mailing Address | Practice Location Address |
---|---|
Ms Lisa Cull, 6249 Skyway, Paradise, CA 95969-4534 Ph: (530) 872-3896 | Ms Lisa Cull, 242 N Villa Ave, Willows, CA 95988-2641 Ph: (530) 934-6582 |
Mrs. Christina Heartt Zimmerman, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 242 N Villa Ave, Willows, CA 95988 Phone: 530-934-6582 Fax: 530-934-6592 | |
Travis Christianson, Couples Therapy Medicare: Medicare Enrolled Practice Location: 242 N Villa Ave, Willows, CA 95988 Phone: 530-865-6106 | |
Mrs. Loretta K Little, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 242 N Villa Ave, Willows, CA 95988 Phone: 530-934-6582 Fax: 530-934-6592 | |
Ms. Maureen Anne Hernandez, MFC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 242 N Villa Ave, Willows, CA 95988 Phone: 530-934-6582 Fax: 530-934-6592 | |
Ms. Roxann J Baillergeon, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 242 N Villa Ave, Willows, CA 95988 Phone: 530-934-6582 | |
Mr. Thomas L Waggoner, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 242 N Villa Ave, Willows, CA 95988 Phone: 530-934-6582 Fax: 530-934-6592 |