| Nicole Renae Cuahutle, | |
|
20549 Valley Blvd, Walnut, CA 91789-2730 | |
| (809) 594-2762 | |
| Not Available |
| Full Name | Nicole Renae Cuahutle |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 20549 Valley Blvd, Walnut, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104489210 | NPI | - | NPPES |
| 7708 | Other | CA | MEDI-CAL |
| 7667 | Other | CA | MEDI-CAL |
| 7184 | Other | CA | MEDI-CAL |
| 7368 | Other | CA | MEDI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | AMFT120879 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Entity Name | Family Talk Therapy Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174089411 PECOS PAC ID: 9436677234 Enrollment ID: O20250515002056 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Renae Cuahutle, 205 Pasadena Ave, South Pasadena, CA 91030-2919 Ph: (323) 344-5536 | Nicole Renae Cuahutle, 20549 Valley Blvd, Walnut, CA 91789-2730 Ph: (809) 594-2762 |
Eduardo Alfredo Paez Iii, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 19240 Bel Air Dr, Walnut, CA 91789 Phone: 818-859-4941 | |
Debi Kim, PH.D Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1169 Fairway Dr, Suite 205, Walnut, CA 91789 Phone: 909-468-0900 Fax: 909-468-0911 | |
Darlene Rebecca Melendez, Couples Therapy Medicare: Medicare Enrolled Practice Location: 345 Calle Alcazar, Walnut, CA 91789 Phone: 714-290-4375 | |
Jasmine Ann Khan, AMFT 138758 Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 340 S Lemon Ave, Walnut, CA 91789 Phone: 415-403-2156 | |
James Lee, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 20723 Walnut Valley Dr, Walnut, CA 91789 Phone: 909-595-7448 | |
Jennifer Pierce, Couples Therapy Medicare: Medicare Enrolled Practice Location: 19907 Esquiline Ave, Walnut, CA 91789 Phone: 562-324-8167 | |
Mark Kazuo Robbins, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 528 Diamond Pl, Walnut, CA 91789 Phone: 310-910-1405 |