| Ms Lisa Virrueta, | |
|
242 N Villa Ave, Willows, CA 95988-2641 | |
| (530) 934-6582 | |
| Not Available |
| Full Name | Ms Lisa Virrueta |
|---|---|
| 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 |
|---|---|
| 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 Virrueta, 242 N Villa Ave, Willows, CA 95988-2641 Ph: (530) 934-6582 | Ms Lisa Virrueta, 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 |