| Joanne Willis, LMFT | |
|
6 Tarman Dr, Cloverdale, CA 95425-3932 | |
| (707) 894-4229 | |
| Not Available |
| Full Name | Joanne Willis |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 6 Tarman Dr, Cloverdale, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982123543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT120460 (California) | Primary |
| Entity Name | Foresight Mental Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902390537 PECOS PAC ID: 6103176219 Enrollment ID: O20180912000079 |
| Mailing Address | Practice Location Address |
|---|---|
| Joanne Willis, LMFT 2655 Henley Pkwy Unit 511, Tracy, CA 95377-2214 Ph: (209) 765-0950 | Joanne Willis, LMFT 6 Tarman Dr, Cloverdale, CA 95425-3932 Ph: (707) 894-4229 |
Carolyn Gibbs Rankin, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 216 N Cloverdale Blvd, Cloverdale, CA 95425 Phone: 707-635-9504 | |
Ms. Louise Monahan, M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 109 S. Main Street, Cloverdale, CA 95425 Phone: 707-894-9012 Fax: 707-894-9015 | |
Cynthia Gorton, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 129 N Cloverdale Blvd Ste 10, Cloverdale, CA 95425 Phone: 707-404-3178 |