Shena Crowe, | |
850 E Foothill Blvd, Rialto, CA 92376-5230 | |
(909) 816-1107 | |
(909) 873-4461 |
Full Name | Shena Crowe |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 850 E Foothill Blvd, Rialto, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1467815290 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (California) | Secondary |
101YM0800X | Counselor - Mental Health | ASW70309 (California) | Primary |
Entity Name | Sud Specialty Group - Ca |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370 |
Mailing Address | Practice Location Address |
---|---|
Shena Crowe, 850 E Foothill Blvd, Rialto, CA 92376-5230 Ph: (909) 816-1107 | Shena Crowe, 850 E Foothill Blvd, Rialto, CA 92376-5230 Ph: (909) 816-1107 |
Anna Blum, Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 E. Foothill Blvd., 124-d, Rialto, CA 92376 Phone: 909-421-9475 | |
Brenda Guardado, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2630 N Linden Ave, Rialto, CA 92377 Phone: 909-854-4100 | |
Lameisha Monique George, Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-421-9495 | |
Ms. Cindy Sue Allen, CATC Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-421-9495 Fax: 909-421-9494 | |
Mr. Harold Glenn Patton, DIRECTOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 732 S Acacia Ave, Rialto, CA 92376 Phone: 909-258-2478 Fax: 760-628-2098 | |
Mrs. Jean Renee Parker-gibson, APCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-421-9301 | |
Vincent Arias, CADC-I Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 E Foothill Blvd, Rialto, CA 92376 Phone: 909-421-9381 |