| Janelle Rose, LMFT | |
|
470 Chadbourne Rd, Suite E, Fairfield, CA 94534 | |
| (707) 425-9670 | |
| (707) 425-9880 |
| Full Name | Janelle Rose |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 470 Chadbourne Rd, Fairfield, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245676063 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 112405 (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 |
|---|---|
| Janelle Rose, LMFT 1234 Empire St Ste 1500, Fairfield, CA 94533-5711 Ph: (510) 849-7477 | Janelle Rose, LMFT 470 Chadbourne Rd, Suite E, Fairfield, CA 94534 Ph: (707) 425-9670 |
Mrs. Charlin Amber Lumia, LMFT Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 801 Empire St, Fairfield, CA 94533 Phone: 707-425-5744 | |
Matthew Ryan Jezierski, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4820 Business Center Dr Ste 210, Fairfield, CA 94534 Phone: 707-224-8266 | |
Katrina Copeland, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 275 Beck Ave # Ms 5-250, Fairfield, CA 94533 Phone: 707-784-8337 | |
Jaazar Shalabi, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 345 E Travis Blvd, Fairfield, CA 94533 Phone: 510-424-6391 | |
Marco Antonio Sanchez, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 675 Texas St Ste 3800, Fairfield, CA 94533 Phone: 916-715-5930 Fax: 707-427-2784 | |
Cyndi Carol Smit, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2101 Courage Dr, Fairfield, CA 94533 Phone: 707-784-2224 | |
Ms. Melanie Dawn Cook, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2101 Courage Dr, Fairfield, CA 94533 Phone: 707-784-2152 Fax: 707-784-2269 |