| Jon Alan Van Fossan, | |
|
2640 Breslauer Way, Redding, CA 96001-4246 | |
| (530) 245-6416 | |
| Not Available |
| Full Name | Jon Alan Van Fossan |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 2640 Breslauer Way, Redding, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811005432 | NPI | - | NPPES |
| 106H00000X | Other | CA | MFT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC 43861 (California) | Primary |
| Entity Name | County Of Shasta |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881692390 PECOS PAC ID: 8820081581 Enrollment ID: O20040407000772 |
| Mailing Address | Practice Location Address |
|---|---|
| Jon Alan Van Fossan, 18389 Utility Ave, Anderson, CA 96007-8423 Ph: (530) 241-0337 | Jon Alan Van Fossan, 2640 Breslauer Way, Redding, CA 96001-4246 Ph: (530) 245-6416 |
Cherish Carlette Padro, MA, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1201 Industrial St, Redding, CA 96002 Phone: 530-241-4115 | |
Melissa Helbach, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 877 Sunriver Ln, Redding, CA 96001 Phone: 608-575-3762 | |
Bobbie Lynn Wilson, MFT INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2395 Bechelli Ln Ste 2, Redding, CA 96002 Phone: 530-638-3811 | |
Teri Watts, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 355 Hemsted Dr Ste 101, Redding, CA 96002 Phone: 530-215-3632 Fax: 530-215-1173 | |
Joshua Stine, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1170 Industrial St, Redding, CA 96002 Phone: 530-338-0330 | |
Jayna Margene Mattson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4625 Mountain Lakes Blvd, Redding, CA 96003 Phone: 530-246-7172 | |
Alexandria Marie Goebel, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2395 Bechelli Ln Ste B, Redding, CA 96002 Phone: 530-638-3811 |