| Nicole Marie Leonard, MFT | |
|
401 Bicentennial Way, Santa Rosa, CA 95403-2149 | |
| (707) 535-7280 | |
| (170) 725-5371 |
| Full Name | Nicole Marie Leonard |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 401 Bicentennial Way, Santa Rosa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861897142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 104472 (California) | Primary |
| Entity Name | Permanente Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710 |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Marie Leonard, MFT 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 535-7280 | Nicole Marie Leonard, MFT 401 Bicentennial Way, Santa Rosa, CA 95403-2149 Ph: (707) 535-7280 |
Laurie B. Stolmaker, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 95 Montgomery Dr, Ste 202, Santa Rosa, CA 95404 Phone: 707-523-2033 Fax: 707-539-6769 | |
Dante Carlozzi, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 160 Wikiup Dr Ste 102, Santa Rosa, CA 95403 Phone: 510-317-1444 | |
Nancy Maddox, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3333 Chanate Rd, Santa Rosa, CA 95404 Phone: 707-565-4939 | |
Vicki L Wedegaertner, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1360 North Dutton Avenue, Suite C, Santa Rosa, CA 95401 Phone: 707-303-1532 | |
Christine Dufond, Couples Therapy Medicare: Medicare Enrolled Practice Location: 4527 Montgomery Dr, Suite F, Santa Rosa, CA 95409 Phone: 707-483-8232 | |
Erin Andersen, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 865 3rd St Ste 202, Santa Rosa, CA 95404 Phone: 707-596-0494 Fax: 707-595-5765 | |
Ms. Lorin Lin Tierney, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 320 10th St Ste 201, Santa Rosa, CA 95401 Phone: 916-505-5053 |