| Judith Ann Tegland, LMFT | |
|
203 Temelec Cir, Sonoma, CA 95476-8027 | |
| (415) 430-7470 | |
| Not Available |
| Full Name | Judith Ann Tegland |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 203 Temelec Cir, Sonoma, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669976312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT31669 (California) | Primary |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Judith Ann Tegland, LMFT 203 Temelec Cir, Sonoma, CA 95476-8027 Ph: (415) 430-7470 | Judith Ann Tegland, LMFT 203 Temelec Cir, Sonoma, CA 95476-8027 Ph: (415) 430-7470 |
Lisa Corsello, AMFT, SEP Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 880 Lyon St, Sonoma, CA 95476 Phone: 415-412-8993 | |
Jim Morein, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 814 Broadway, Sonoma, CA 95476 Phone: 707-509-8031 | |
Susie Cook, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 255 W Napa St, #d, Sonoma, CA 95476 Phone: 707-484-5427 | |
Darice Elaine Dekker, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 17321 Park Ave Apt A, Sonoma, CA 95476 Phone: 707-548-9813 | |
Michael Staples, MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 18370 Clayton Ave, Sonoma, CA 95476 Phone: 707-935-1629 | |
Michele Rouse, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1151 Broadway, Suite 102, Sonoma, CA 95476 Phone: 707-339-2166 Fax: 707-996-4810 | |
Nidza Clarke, M.S. LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 454 W Napa St, Sonoma, CA 95476 Phone: 415-722-4664 |