Nicole Marie Kloncz, | |
201 D St Ste G, Marysville, CA 95901-5957 | |
(530) 237-1715 | |
Not Available |
Full Name | Nicole Marie Kloncz |
---|---|
Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 201 D St Ste G, Marysville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386982239 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
106H00000X | Marriage & Family Therapist | 118701 (California) | Primary |
Entity Name | Revive Pathway |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962117440 PECOS PAC ID: 4284081639 Enrollment ID: O20240924001884 |
Entity Name | Puyallup Tribal Opioid Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992582613 PECOS PAC ID: 4486096377 Enrollment ID: O20241029002291 |
Mailing Address | Practice Location Address |
---|---|
Nicole Marie Kloncz, 103 D St, Marysville, CA 95901-6017 Ph: (530) 671-3472 | Nicole Marie Kloncz, 201 D St Ste G, Marysville, CA 95901-5957 Ph: (530) 237-1715 |
Mrs. Shanell Niemeyer, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 103 D St, Marysville, CA 95901 Phone: 530-671-3427 | |
Jenelle Alyce Okkerse, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 103 D St, Marysville, CA 95901 Phone: 916-705-1854 | |
Linda Carol Mirich, M.S. IMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 103 D St, Marysville, CA 95901 Phone: 530-671-3427 Fax: 530-671-3877 | |
Miss Mariel Mory Fernandez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 103 D St, Marysville, CA 95901 Phone: 153-067-1342 | |
Jennifer Micheal Coats, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 618 5th St, Marysville, CA 95901 Phone: 530-749-4412 Fax: 530-749-4479 | |
Mrs. Francisca Ines Duenas, M.S., LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 103 D Street, Marysville, CA 95901 Phone: 530-671-3427 | |
Ms. Stephanie Ann Appelhof, MFT-INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 103 D St, Marysville, CA 95901 Phone: 530-671-3427 Fax: 530-671-3877 |