| Mrs Carol D Decew, MS | |
|
Po Box 210, Montclair, CA 91763-0210 | |
| (714) 423-2485 | |
| Not Available |
| Full Name | Mrs Carol D Decew |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | Po Box 210, Montclair, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760661748 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 79778 (California) | Primary |
| 101YM0800X | Counselor - Mental Health | 74212 (California) | Secondary |
| 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 |
|---|---|
| Mrs Carol D Decew, MS Po Box 210, Montclair, CA 91763-0210 Ph: (714) 432-2485 | Mrs Carol D Decew, MS Po Box 210, Montclair, CA 91763-0210 Ph: (714) 423-2485 |
Benzion Isa Perez, Couples Therapy Medicare: Medicare Enrolled Practice Location: 5330 San Bernardino St, Montclair, CA 91763 Phone: 626-425-6875 | |
Samar L Iqbal, Couples Therapy Medicare: Medicare Enrolled Practice Location: 5330 San Bernardino St, Montclair, CA 91763 Phone: 909-399-3751 | |
Mrs. Elizabeth Maricella Rohskothen, MFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 5330 San Bernardino St, Montclair, CA 91763 Phone: 866-205-3595 | |
Meredith Elena Medin, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 5330 San Bernardino St, Montclair, CA 91763 Phone: 866-205-3595 | |
Mrs. Mindy Faith Chavez, M.S., LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10200 Lehigh Ave, Montclair, CA 91763 Phone: 909-445-1616 Fax: 909-445-1620 | |
Aica Cirella Custodio Saucedo, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5330 San Bernardino St, Montclair, CA 91763 Phone: 909-399-3700 |