| Shawn Albert Moore, | |
|
4600 47th Ave, Sacramento, CA 95824-3923 | |
| (916) 940-7094 | |
| (510) 569-4589 |
| Full Name | Shawn Albert Moore |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 4600 47th Ave, Sacramento, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033518071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | 146232 (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 |
|---|---|
| Shawn Albert Moore, 4600 47th Ave, Sacramento, CA 95824-3923 Ph: (916) 501-4378 | Shawn Albert Moore, 4600 47th Ave, Sacramento, CA 95824-3923 Ph: (916) 940-7094 |
Jesse Pitrone, Couples Therapy Medicare: Medicare Enrolled Practice Location: 601 University Ave, Ste 225, Sacramento, CA 95825 Phone: 916-920-5276 | |
Stephen Eastman, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5409 Palm Ave, Sacramento, CA 95841 Phone: 916-548-6641 | |
Mrs. Samantha Lynn Chilton, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3610 American River Dr Ste 140, Sacramento, CA 95864 Phone: 916-574-1000 | |
Holly M Webb, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 631 H St, Sacramento, CA 95814 Phone: 916-822-8975 Fax: 916-880-5693 | |
Ashley Jacobs, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9837 Folsom Blvd Ste F, Sacramento, CA 95827 Phone: 916-450-2600 | |
Stephanie Wilson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2130 Stockton Blvd Bldg 300, Sacramento, CA 95817 Phone: 916-520-2460 | |
Ms. Asianya Jones Vargas, MFT, PCC, ED. D. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9157 Irish Gold Way, Sacramento, CA 95826 Phone: 916-572-7761 |