| Mainkau Kathy Thor, | |
|
225 Academy Ave, Sanger, CA 93657-2128 | |
| (559) 875-7705 | |
| Not Available |
| Full Name | Mainkau Kathy Thor |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 225 Academy Ave, Sanger, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427576982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 133591 (California) | Primary |
| Entity Name | Forward Wellness Family Therapy Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093398059 PECOS PAC ID: 9739546144 Enrollment ID: O20230530002815 |
| Mailing Address | Practice Location Address |
|---|---|
| Mainkau Kathy Thor, 225 Academy Ave, Sanger, CA 93657-2128 Ph: (559) 875-7705 | Mainkau Kathy Thor, 225 Academy Ave, Sanger, CA 93657-2128 Ph: (559) 875-7705 |
Summer Paccassi, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 333 Pinewood Ave, Sanger, CA 93657 Phone: 559-341-9656 | |
Jessica E Heredia, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 225 Academy Ave, Sanger, CA 93657 Phone: 855-343-1057 | |
Shannon R Lum, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2570 Jensen Ave Ste 105, Sanger, CA 93657 Phone: 559-399-8144 | |
Jennifer Diane Bolen, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2511 Jensen Ave, Sanger, CA 93657 Phone: 559-875-3023 |