| Suzanne Moineau, LMFT | |
|
925 Bevins Ct, Lakeport, CA 95453-9754 | |
| (707) 263-8382 | |
| (707) 263-0329 |
| Full Name | Suzanne Moineau |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 925 Bevins Ct, Lakeport, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417194960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 40196 (California) | Primary |
| Entity Name | Lake County Tribal Health Consortium Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881697381 PECOS PAC ID: 8729975545 Enrollment ID: O20040304000323 |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne Moineau, LMFT Po Box 1950, Lakeport, CA 95453-1950 Ph: (707) 263-8382 | Suzanne Moineau, LMFT 925 Bevins Ct, Lakeport, CA 95453-9754 Ph: (707) 263-8382 |
Ms. Patricia Ann Jones, M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1495 Orchid Way, Lakeport, CA 95453 Phone: 707-263-8888 Fax: 707-263-8899 | |
Ms. June Marie Wilson-clarkin, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 200 N Main St Ste-a, Lakeport, CA 95453 Phone: 707-254-5672 Fax: 707-262-0291 | |
Lori Heagerty, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1152 S Main St, Lakeport, CA 95453 Phone: 707-263-8795 | |
Ms. Sally A Riley, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1152 S Main St, Lakeport, CA 95453 Phone: 707-263-8795 | |
Yolanda Sorto Castanon, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 925 Bevins Ct, Lakeport, CA 95453 Phone: 707-263-8382 Fax: 707-263-0329 | |
Ms. Carol Mills Craig, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 55 1st St, #221, Lakeport, CA 95453 Phone: 707-513-6332 | |
Mrs. Jacquline Gail Smythe, MFC 43231 Couples Therapy Medicare: Medicare Enrolled Practice Location: 55 1st St # 305i, Lakeport, CA 95453 Phone: 707-349-2586 Fax: 707-274-9192 |