| Kristin Verroulx, | |
|
405 E D St Ste 108, Petaluma, CA 94952-3173 | |
| (707) 540-5104 | |
| Not Available |
| Full Name | Kristin Verroulx |
|---|---|
| Gender | Female |
| Speciality | Clinical Psychologist |
| Experience | 8 Years |
| Location | 405 E D St Ste 108, Petaluma, California |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639570914 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 90689 (California) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northern Light Eastern Maine Medical Center | Bangor, ME | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eastern Maine Medical Center | 2062315161 | 659 |
| Entity Name | Eastern Maine Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088 |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Verroulx, 3009 Hayman Ave, Vallejo, CA 94591-7441 Ph: (707) 540-5104 | Kristin Verroulx, 405 E D St Ste 108, Petaluma, CA 94952-3173 Ph: (707) 540-5104 |
Ms. Marilyn Stefonetti, LMFT, NE Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6 Petaluma Blvd N Ste B4, Petaluma, CA 94952 Phone: 707-762-3660 |
Thomas Alan Robbe, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1500 Petaluma Blvd S Ste A, Petaluma, CA 94952 Phone: 707-765-8488 Fax: 707-765-8482 |
Mrs. Patricia Jane Brown, PHD MFT LAC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 513 Petaluma Blvd South, Petaluma, CA 94952 Phone: 707-762-2240 Fax: 707-762-9290 |
Ms. Selena Emily Mitchell, LAC, AMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 727 English St, Petaluma, CA 94952 Phone: 559-288-7889 |
Lisa Benitez, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 365 Kuck Ln, Petaluma, CA 94952 Phone: 707-795-6954 |
Erin Lee Collins, LMFT Couples Therapy Medicare: May Accept Medicare Assignments Practice Location: 1900 S Mcdowell Blvd, Petaluma, CA 94954 Phone: 415-491-3031 |
Patricia D Hallenbeck, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 159 Kentucky St, Ste 10, Petaluma, CA 94952 Phone: 707-769-1461 |