| Ms Meagan Nellie Medina, | |
|
36977 Park Ave, Burney, CA 96013-4067 | |
| (530) 335-0340 | |
| Not Available |
| Full Name | Ms Meagan Nellie Medina |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 36977 Park Ave, Burney, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073050480 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT123654 (California) | Primary |
| Entity Name | Native American Mental Health Services Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073919171 PECOS PAC ID: 5395072490 Enrollment ID: O20190813000872 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Meagan Nellie Medina, 36977 Park Ave, Burney, CA 96013-4067 Ph: (530) 335-0340 | Ms Meagan Nellie Medina, 36977 Park Ave, Burney, CA 96013-4067 Ph: (530) 335-0340 |
Mr. Jose Maria Valenzuela, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 36977 Park Ave, Burney, CA 96013 Phone: 530-335-0348 Fax: 530-335-4023 | |
Mrs. Barbara Diane Burks, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 37104 Main St Ste A, Burney, CA 96013 Phone: 530-335-3335 Fax: 530-232-2289 | |
Kristi Laughlin, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 37491 Enterprise Dr, Burney, CA 96013 Phone: 530-999-9030 Fax: 530-362-4038 |