| 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 |
|---|---|
| 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 |
|---|---|
| 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 |