| Kyle Lamet Jackson, | |
|
744 Empire St, Fairfield, CA 94533-5562 | |
| (925) 768-5052 | |
| Not Available |
| Full Name | Kyle Lamet Jackson |
|---|---|
| Gender | Female |
| Speciality | Marriage And Family Therapist |
| Experience | 10 Years |
| Location | 744 Empire St, Fairfield, 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 |
|---|---|---|---|
| 1275018384 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 88118 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Permanente Medical Group Inc | 8921910225 | 8867 |
| 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 |
|---|---|
| Kyle Lamet Jackson, 744 Empire St, Fairfield, CA 94533-5562 Ph: (925) 768-5052 | Kyle Lamet Jackson, 744 Empire St, Fairfield, CA 94533-5562 Ph: (925) 768-5052 |
Mrs. Charlin Amber Lumia, LMFT Couples Therapy Medicare: Accepting Medicare Assignments Practice Location: 801 Empire St, Fairfield, CA 94533 Phone: 707-425-5744 | |
Matthew Ryan Jezierski, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 4820 Business Center Dr Ste 210, Fairfield, CA 94534 Phone: 707-224-8266 | |
Katrina Copeland, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 275 Beck Ave # Ms 5-250, Fairfield, CA 94533 Phone: 707-784-8337 | |
Jaazar Shalabi, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 345 E Travis Blvd, Fairfield, CA 94533 Phone: 510-424-6391 | |
Marco Antonio Sanchez, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 675 Texas St Ste 3800, Fairfield, CA 94533 Phone: 916-715-5930 Fax: 707-427-2784 | |
Cyndi Carol Smit, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2101 Courage Dr, Fairfield, CA 94533 Phone: 707-784-2224 | |
Ms. Melanie Dawn Cook, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2101 Courage Dr, Fairfield, CA 94533 Phone: 707-784-2152 Fax: 707-784-2269 |