MS. JACQUELINE MAY LADRECH (NPI# 1194998047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194998047 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE MAY LADRECH |
| Credential | MS, MFT |
| Practice Address |
240 Tamal Vista Blvd Suite 270 Corte Madera CA 94925-1132 |
| Practice Telephone | 4154799008 |
| Practice Fax Number | 4154990631 |
| Mailing Telephone | 4154799008 |
| Mailing Fax Number | 4154990631 |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MFC20178 | CA | Behavioral Health & Social Service Providers |
| Street Address |
240 TAMAL VISTA BLVD SUITE 270 |
| City | CORTE MADERA |
| State | CA |
| Zip Code | 94925-1132 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396753232 | Charles S Fleckles | Psychiatry & Neurology | 240 Tamal Vista Blvd, Suite 162, Corte Madera, CA 94925 | 2006-08-04 |
| 1790216489 | Child Therapy Institute of Marin | Community/Behavioral Health | 240 Tamal Vista Blvd, #155, Corte Madera, CA 94925-1132 | 2017-03-23 |
| 1326279183 | Catherine E. Main, Inc. | Psychologist | 240 Tamal Vista Blvd, Suite 270, Corte Madera, CA 94925-1132 | 2009-07-28 |
| 1962633701 | Catherine Elizabeth Main | Psychologist | 240 Tamal Vista Blvd, Suite 270, Corte Madera, CA 94925-1132 | 2009-07-28 |
| 1780813550 | Naomi Butler | Marriage & Family Therapist | 240 Tamal Vista Blvd, Suite 270, Corte Madera, CA 94925-1132 | 2009-07-14 |
| 1417196023 | Marilla Waesche Pivonka | Marriage & Family Therapist | 240 Tamal Vista Blvd, Ste 290, Corte Madera, CA 94925-1159 | 2009-02-05 |
| 1124276050 | Lynn Mcleod | Marriage & Family Therapist | 240 Tamal Vista Blvd, Suite 162, Corte Madera, CA 94925-1132 | 2008-09-04 |
| 1891998449 | Indrojit Singh | Psychologist | 240 Tamal Vista Blvd, Ste #180, Corte Madera, CA 94925 | 2007-06-08 |
| 1164545141 | Esther G Stone | Social Worker | 240 Tamal Vista Blvd, #290, Corte Madera, CA 94925-1132 | 2007-04-06 |
| 1669502183 | Ernest Troy Bryant | Clinical Neuropsychologist | 240 Tamal Vista Blvd, Corte Madera, CA 94925-1132 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386139061 | California Center for Ms and Neurology Inc | Psychiatry & Neurology | 21 Tamal Vista Blvd Ste 175, Corte Madera, CA 94925 | 2018-06-26 |
| 1982130514 | Summer Nipomnick | Psychologist | 200 Tamal Plaza, Suite 235, Corte Madera, CA 94925 | 2017-05-02 |
| 1376784561 | Marcie Morton | Chiropractor | 2 Fifer Ave Ste 130, Corte Madera, CA 94925 | 2009-03-17 |
| 1154598365 | Kristine Kay Twite Lehnen | Registered Nurse | 42 Creekside Ct, Corte Madera, CA 94925 | 2008-05-15 |
| 1811163884 | Susan Mary Nickerson | Nurse Anesthetist, Certified Registered | 239 Koch Rd, Corte Madera, CA 94925 | 2008-04-30 |
| 1225150485 | Noreen P Dunnigan | Marriage & Family Therapist | 200 Tamal Plaza, Ste 135, Corte Madera, CA 94925 | 2007-04-06 |
| 1356477889 | Rochelle L Teising | Marriage & Family Therapist | 100 Tamal Vista, #160, Corte Madera, CA 94925 | 2007-02-26 |
| 1518019181 | Lynne Harris | Psychologist | 100 Tamal Plaza, Suite 108, Corte Madera, CA 94925 | 2007-01-17 |
| 1801975032 | Julie B Young | Dentist | 81 Casa Buena, Suite 6, Corte Madera, CA 94925 | 2006-11-06 |
| 1033294020 | Ann Margaret O'hare | Internal Medicine | 155 Golden Hind Passage, Corte Madera, CA 94925 | 2006-10-26 |
| Find all providers in zip 94925 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568007409 | Briana Leslie Aitkenhead | Counselor | 300 Tamal Plz Ste 220, Corte Madera, CA 94925-1136 | 2019-11-14 |
| 1659897643 | Emily Hager | Counselor | 104 Harbor Dr, Corte Madera, CA 94925-1807 | 2017-08-21 |
| 1164968764 | Jennifer Dorsey Browne | Counselor | 530 Manzanita Ave, Corte Madera, CA 94925-1520 | 2017-01-06 |
| 1326223587 | Christina M Walker | Counselor | 45 San Clemente Dr Ste B230, Corte Madera, CA 94925-1299 | 2008-01-07 |
| 1124176615 | Mill Valley Performance Consulting Group, Inc. | Counselor | 300 Tamal Plz Ste 140, Corte Madera, CA 94925-1131 | 2007-01-08 |
| 1740392570 | Diane A Wakelin | Counselor | 2 Fifer Ave, Suite 240, Corte Madera, CA 94925-1134 | 2006-08-31 |
| 1609415207 | Jedidiah Purses | Counselor | 300 Tamal Plz Ste 220, Corte Madera, CA 94925-1136 | 2019-12-30 |
| 1689130809 | Eileen Marie Sullivan | Counselor | 100 Tamal Plz Ste 170, Corte Madera, CA 94925-1163 | 2019-02-12 |
| 1376985804 | Alexandra Phelps | Counselor | 500 Tamal Plz, Suite 529, Corte Madera, CA 94925-1151 | 2013-07-25 |
| 1508116237 | Rebecca Marie Johnson | Counselor | 21 Tamal Vista Blvd, Suite 210, Corte Madera, CA 94925-1130 | 2012-09-10 |
| Find all providers in CORTE MADERA | ||||
| City | CORTE MADERA |
| Zip Code | 94925 |
Please comment or provide details below to improve the information on MS. JACQUELINE MAY LADRECH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.