Donald Bouchard, MS | |
491 Main St, Athol, MA 01331-1846 | |
(978) 249-9490 | |
Not Available |
Full Name | Donald Bouchard |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 491 Main St, Athol, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1962914093 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Clinical & Support Options, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831265115 PECOS PAC ID: 6608835350 Enrollment ID: O20041007000491 |
Mailing Address | Practice Location Address |
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Donald Bouchard, MS 491 Main St, Athol, MA 01331-1846 Ph: (978) 249-9490 | Donald Bouchard, MS 491 Main St, Athol, MA 01331-1846 Ph: (978) 249-9490 |
Ms. Christina Marie Roche, Counselor Medicare: Not Enrolled in Medicare Practice Location: 491 Main St, Athol, MA 01331 Phone: 978-249-9490 | |
Justin Nelson, BACHELORS OF SCIENCE Counselor Medicare: Not Enrolled in Medicare Practice Location: 491 Main St, Athol, MA 01331 Phone: 978-249-9490 | |
Rosanna Selnekovic, Counselor Medicare: Not Enrolled in Medicare Practice Location: 491 Main St, Athol, MA 01331 Phone: 978-249-9490 | |
Melissa Reynolds, Counselor Medicare: Not Enrolled in Medicare Practice Location: 491 Main St, Athol, MA 01331 Phone: 978-249-9490 | |
Mrs. Cornelia Salone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 491 Main St, Athol, MA 01331 Phone: 978-249-9490 Fax: 978-249-9514 | |
Mr. Trevor Bray-bustos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2033 Main St Ste 2, Athol, MA 01331 Phone: 978-249-9490 | |
Mark Lorion, Counselor Medicare: Not Enrolled in Medicare Practice Location: 491 Main St., Athol, MA 01331 Phone: 978-249-9490 |