Michele Bussell, | |
5201 Great America Pkwy Ste 320, Santa Clara, CA 95054-1140 | |
(323) 205-7088 | |
Not Available |
Full Name | Michele Bussell |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 5201 Great America Pkwy Ste 320, Santa Clara, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275035172 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 145767 (California) | Secondary |
101YM0800X | Counselor - Mental Health | 7265 (California) | Primary |
Entity Name | Grow Healthcare Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
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 |
---|---|
Michele Bussell, 1196 3rd Ave, Chula Vista, CA 91911-3131 Ph: (619) 427-4661 | Michele Bussell, 5201 Great America Pkwy Ste 320, Santa Clara, CA 95054-1140 Ph: (323) 205-7088 |
Richard Grant Muir, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-243-0222 | |
Rachel Lasky, Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Agnew Rd Apt 425, Santa Clara, CA 95054 Phone: 480-286-1192 | |
Laura Daniela Martinez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-243-0222 | |
Michelle Albanese Pettengill, ASW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-243-0222 | |
Stephanie Helen Schultze Ponce, Counselor Medicare: Medicare Enrolled Practice Location: 3840 Homestead Rd, Santa Clara, CA 95051 Phone: 408-851-4922 | |
Jon Michael Faxon, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 3840 Homestead Road, Kaiser Permanete -- Behavioral Health Center, Santa Clara, CA 95051 Phone: 408-569-2604 | |
Daisy C Corral, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-243-0222 |