Coleen M Golab, LMHC | |
2536 Carlson Rd, Jamestown, NY 14701-9351 | |
(814) 490-6755 | |
Not Available |
Full Name | Coleen M Golab |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2536 Carlson Rd, Jamestown, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083248983 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 002255-1 (New York) | Primary |
Entity Name | Brightside Medical Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508325184 PECOS PAC ID: 4082089461 Enrollment ID: O20230803003025 |
Mailing Address | Practice Location Address |
---|---|
Coleen M Golab, LMHC 2536 Carlson Rd, Jamestown, NY 14701-9351 Ph: (814) 490-6755 | Coleen M Golab, LMHC 2536 Carlson Rd, Jamestown, NY 14701-9351 Ph: (814) 490-6755 |
Jessica R Willett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E 3rd St Ste 5, Jamestown, NY 14701 Phone: 716-661-8330 Fax: 716-753-4230 | |
Christina Marsh, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E 3rd St, 5th Floor, Jamestown, NY 14701 Phone: 716-753-4104 | |
Ned R. Lindstrom, Counselor Medicare: Not Enrolled in Medicare Practice Location: 405 Howard Ave, Jamestown, NY 14701 Phone: 724-396-1510 Fax: 724-972-4627 | |
Betty J Ridout, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E 3rd St, Jamestown, NY 14701 Phone: 716-661-8330 | |
Sarah Rurycz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 880 E 2nd St, Jamestown, NY 14701 Phone: 716-661-1590 | |
Toni L Castiglia, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 E 3rd St, Jamestown, NY 14701 Phone: 716-661-8330 |