| Lauren Cardoso, | |
|
2120 Alpine Blvd, Alpine, CA 91901-2113 | |
| (619) 722-6327 | |
| Not Available |
| Full Name | Lauren Cardoso |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 2120 Alpine Blvd, Alpine, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871968636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 89571 (California) | Secondary |
| 101YM0800X | Counselor - Mental Health | 89571 (California) | Primary |
| Entity Name | Mood Clinical, P. C. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922675644 PECOS PAC ID: 4981080769 Enrollment ID: O20220930002640 |
| Mailing Address | Practice Location Address |
|---|---|
| Lauren Cardoso, Po Box 152644, San Diego, CA 92195-2644 Ph: () - | Lauren Cardoso, 2120 Alpine Blvd, Alpine, CA 91901-2113 Ph: (619) 722-6327 |
Ashley Nicole Lairson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2120 Alpine Blvd, Alpine, CA 91901 Phone: 619-722-7319 Fax: 619-722-6327 | |
Jane F Smith, PPS SCHOOL COUNSELOR Counselor Medicare: Not Enrolled in Medicare Practice Location: 2320 Tavern Rd, Alpine, CA 91901 Phone: 619-445-8676 Fax: 619-445-1420 | |
Erin M Mcgowan-robertson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2271 Alpine Blvd Ste A, Alpine, CA 91901 Phone: 619-448-1216 | |
Alyssa Louise Pesce, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2120 Alpine Blvd, Alpine, CA 91901 Phone: 619-445-2644 | |
Christa Marie Mapes, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2271 Alpine Blvd Ste A, Alpine, CA 91901 Phone: 267-879-9651 | |
Leslee-anne Sesno, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 2271 Alpine Blvd Ste A, Alpine, CA 91901 Phone: 888-688-0248 | |
Tiziana Tarquinio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2120 Alpine Blvd, Alpine, CA 91901 Phone: 619-576-9000 |