George Tyler Duarte, | |
2601 E Chapman Ave, Fullerton, CA 92831-3737 | |
(949) 293-6249 | |
(888) 974-6532 |
Full Name | George Tyler Duarte |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 2601 E Chapman Ave, Fullerton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245855717 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 118564 (California) | Primary |
Entity Name | Wave Professional Clinical Counselors Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700288768 PECOS PAC ID: 6305153123 Enrollment ID: O20150911000030 |
Mailing Address | Practice Location Address |
---|---|
George Tyler Duarte, 21622 Marguerite Pkwy Apt 220, Mission Viejo, CA 92692-4413 Ph: (562) 708-1627 | George Tyler Duarte, 2601 E Chapman Ave, Fullerton, CA 92831-3737 Ph: (949) 293-6249 |
Mrs. Nancy Ann Celio, M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 305 N Harbor Blvd, 202, Fullerton, CA 92832 Phone: 714-721-3991 Fax: 714-525-0834 | |
Sandra Diane Aragon, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 401 Imperial Hwy, Fullerton, CA 92835 Phone: 714-447-7000 | |
Ms. Lupita Pearl Colbert, BCBA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 801 E Chapman Ave, #203, Fullerton, CA 92831 Phone: 714-680-8268 Fax: 714-680-8233 | |
Jenny Helene Potzler, M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 321 N Pomona Ave, Ste. 4, Fullerton, CA 92832 Phone: 714-335-1957 Fax: 714-773-5386 | |
Angga Rahadyan, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2601 E Chapman Ave Ste 111, Fullerton, CA 92831 Phone: 949-293-6249 | |
James Mackey Iv, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 801 E Chapman Ave, Fullerton, CA 92831 Phone: 714-680-9022 | |
Ami-ray Audrey Camarena, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2601 E Chapman Ave, Fullerton, CA 92831 Phone: 949-293-6249 |