| Mr Jeremy Paul Nilsen, | |
|
720 Wood St, Eureka, CA 95501-4413 | |
| (707) 268-2900 | |
| Not Available |
| Full Name | Mr Jeremy Paul Nilsen |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 720 Wood St, Eureka, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023153376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 45118 (California) | Primary |
| Entity Name | County Of Napa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164572426 PECOS PAC ID: 7012991862 Enrollment ID: O20040617000918 |
| Entity Name | Grow Healthcare Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeremy Paul Nilsen, 720 Wood St, Eureka, CA 95501-4413 Ph: (707) 268-2900 | Mr Jeremy Paul Nilsen, 720 Wood St, Eureka, CA 95501-4413 Ph: (707) 268-2900 |
Margaret Carol Mcneill, MFC Couples Therapy Medicare: Medicare Enrolled Practice Location: 2412 Buhne St, Eureka, CA 95501 Phone: 707-441-1624 | |
Eric Carl Vedborg, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 720 Wood St, Eureka, CA 95501 Phone: 707-268-2935 | |
Mr. John Raymond Anderson, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 720 Wood St, Eureka, CA 95501 Phone: 707-268-2990 | |
Dr. Charles Richard Stotler, ED.D., MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3122 F St, Eureka, CA 95503 Phone: 707-443-8642 Fax: 707-443-0517 | |
Ms. Elizabeth Hadden Goodman, LMFT LPCC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 517 Third Street Suite 39, Eureka, CA 95501 Phone: 707-499-4111 Fax: 707-444-8882 | |
Lisa Carpinelli, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1802 California St, Eureka, CA 95501 Phone: 707-443-7358 |