| Mrs Elyse Diana Dejohnette, LMFT | |
|
27789 Kildare Pl, Moreno Valley, CA 92555-5638 | |
| (951) 268-4483 | |
| Not Available |
| Full Name | Mrs Elyse Diana Dejohnette |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 27789 Kildare Pl, Moreno Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518224088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 154426 (California) | Primary |
| Entity Name | Marsell Wellness Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700597036 PECOS PAC ID: 2961947015 Enrollment ID: O20240712001371 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Elyse Diana Dejohnette, LMFT 27789 Kildare Pl, Moreno Valley, CA 92555-5638 Ph: (951) 268-4483 | Mrs Elyse Diana Dejohnette, LMFT 27789 Kildare Pl, Moreno Valley, CA 92555-5638 Ph: (951) 268-4483 |
Isela P. Baron, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 23791 Lone Pine Dr, Moreno Valley, CA 92557 Phone: 951-223-5101 |
Christopher K. Atlas, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12968 Frederick St, Ste. A, Moreno Valley, CA 92553 Phone: 951-208-0150 |
Cynthia Camacho, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 23119 Cottonwood Ave, Bldg. A, Suite 110, Moreno Valley, CA 92553 Phone: 951-413-5678 |
Ana Macias, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12810 Heacock St Ste B202, Moreno Valley, CA 92553 Phone: 951-247-6542 |
Nathalie Saray Manriquez, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 12968 Frederick St Ste D, Moreno Valley, CA 92553 Phone: 951-242-7738 |
Ms. Katherine Ellen James, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 21250 Box Springs Rd Ste 106, Moreno Valley, CA 92557 Phone: 951-369-8036 |
Dyrol Amantine, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 23990 Eucalyptus Ave, Moreno Valley, CA 92553 Phone: 909-721-0548 |