| Ms Kathleen Wilson-parish, | |
|
250 Cherry Ln Ste 115, Manteca, CA 95337-4398 | |
| (209) 740-9944 | |
| (209) 665-4032 |
| Full Name | Ms Kathleen Wilson-parish |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 250 Cherry Ln Ste 115, Manteca, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780807636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT50051 (California) | Primary |
| 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 |
|---|---|
| Ms Kathleen Wilson-parish, 1567 Purple Martin Ln, Manteca, CA 95337-7906 Ph: (209) 740-9943 | Ms Kathleen Wilson-parish, 250 Cherry Ln Ste 115, Manteca, CA 95337-4398 Ph: (209) 740-9944 |
Coral Boyle-day, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 302 Cherry Ln, Manteca, CA 95337 Phone: 209-647-6200 | |
Ms. Cecilia Hobbie Pehle, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 965 E Yosemite Ave, Executive Plaza Suite 12, Manteca, CA 95336 Phone: 209-577-1159 Fax: 209-823-8189 | |
Mrs. Tanya Reyes, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 955 W Center St Ste 2, Manteca, CA 95337 Phone: 209-645-0534 Fax: 209-800-5888 | |
Jacquelyn Michelle Seefeldt, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 302 Cherry Ln, Suite 101, 201, & 208, Manteca, CA 95337 Phone: 209-689-8581 | |
Raven Royal, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 129 E Center St Ste 3, Manteca, CA 95336 Phone: 209-239-5553 | |
Melissa J Estrada-ruiz, Couples Therapy Medicare: May Accept Medicare Assignments Practice Location: 2270 Beppe Ave, Manteca, CA 95337 Phone: 209-207-4509 | |
Girija Ramesh, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1266 Cotton Meadow Way, Manteca, CA 95336 Phone: 408-621-8430 Fax: 408-867-6060 |