| Genevieve Ann Green, MFTI | |
|
202 Glacier Dr, Martinez, CA 94553-4826 | |
| (415) 412-0336 | |
| Not Available |
| Full Name | Genevieve Ann Green |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 202 Glacier Dr, Martinez, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285912006 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 63340 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Genevieve Ann Green, MFTI 5059 Hiller Ln, Martinez, CA 94553-8601 Ph: (415) 412-0336 | Genevieve Ann Green, MFTI 202 Glacier Dr, Martinez, CA 94553-4826 Ph: (415) 412-0336 |
Bertha Alicia Diaz, MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1340 Arnold Dr Ste 200, Martinez, CA 94553 Phone: 925-957-5150 | |
Ms. Amber Kipril Fretwell, M.A. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1320 Arnold Dr, Martinez, CA 94553 Phone: 925-229-5400 Fax: 925-229-5406 | |
Andrea Melano, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10 Douglas Dr Ste 140, Martinez, CA 94553 Phone: 925-387-9887 | |
Ms. Grace Christine Casson, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1330 Arnold Dr Ste 143, Martinez, CA 94553 Phone: 925-957-7538 | |
Consuelo Negrete Blas, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1320 Arnold Dr Ste 170, Martinez, CA 94553 Phone: 925-372-4213 | |
Caitlin Young, Couples Therapy Medicare: Medicare Enrolled Practice Location: 300 Ilene St, Martinez, CA 94553 Phone: 925-313-7989 | |
Jeff Cohen, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2394 Lake Meadow Cir, Martinez, CA 94553 Phone: 510-206-1444 |