Randi Halcon, LMFT | |
1133 Shady Ln, Fillmore, CA 93015-1038 | |
(805) 276-7047 | |
Not Available |
Full Name | Randi Halcon |
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Gender | Female |
Speciality | Marriage & Family Therapist |
Location | 1133 Shady Ln, Fillmore, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144671579 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 98985 (California) | Primary |
Entity Name | Southern California Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
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Randi Halcon, LMFT Po Box 583, Fillmore, CA 93016-0583 Ph: (805) 276-7047 | Randi Halcon, LMFT 1133 Shady Ln, Fillmore, CA 93015-1038 Ph: (805) 276-7047 |
Stephanie Williamson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 162 Marigold St, Fillmore, CA 93015 Phone: 805-334-5195 | |
Noe Leonardo Villa, LCSW Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1014 Harthorn Ln, Fillmore, CA 93015 Phone: 805-236-8163 | |
Mr. Jimmy Steve Aguilar, Couples Therapy Medicare: Medicare Enrolled Practice Location: 828 W Ventura St, Fillmore, CA 93015 Phone: 805-524-2000 Fax: 805-524-9601 |