| Jessica Rose Nichols, | |
|
200 7th Ave Ste 150, Santa Cruz, CA 95062-4669 | |
| (831) 462-1060 | |
| (831) 462-4970 |
| Full Name | Jessica Rose Nichols |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 200 7th Ave Ste 150, Santa Cruz, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205000379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 85023 (California) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (California) | Secondary |
| 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 |
|---|---|
| Jessica Rose Nichols, 200 7th Ave Ste 150, Santa Cruz, CA 95062-4669 Ph: (831) 462-1060 | Jessica Rose Nichols, 200 7th Ave Ste 150, Santa Cruz, CA 95062-4669 Ph: (831) 462-1060 |
William Mccabe, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 709 Mission St, Santa Cruz, CA 95060 Phone: 831-429-8350 | |
Stacey Alonzo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 700 Frederick St Ste 103, Santa Cruz, CA 95062 Phone: 831-996-1222 | |
Daniel Christopher Dailey, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 104 Walnut Ave Ste 208, Santa Cruz, CA 95060 Phone: 831-423-9444 | |
Nancy Kathrine Mast, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1400 Emeline Ave Bldg K, Santa Cruz, CA 95060 Phone: 831-454-5087 | |
Michelle Renee Myers, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 310 Locust St Ste E, Santa Cruz, CA 95060 Phone: 831-331-3453 | |
Amelia Coulter, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 3319b Mission Dr, Santa Cruz, CA 95065 Phone: 831-331-9286 | |
Anna Yabroff, MA Couples Therapy Medicare: Medicare Enrolled Practice Location: 2025 Soquel Ave, Santa Cruz, CA 95062 Phone: 831-458-4888 |