Jacqueline Wilson, MED LMHC | |
6 Cabot Pl Ste 6, Stoughton, MA 02072-4625 | |
(508) 740-4316 | |
Not Available |
Full Name | Jacqueline Wilson |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 6 Cabot Pl Ste 6, Stoughton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942373212 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Jacquie Wilson Associates Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356945315 PECOS PAC ID: 5294179586 Enrollment ID: O20240214002704 |
Mailing Address | Practice Location Address |
---|---|
Jacqueline Wilson, MED LMHC 495 Summer St, Brockton, MA 02302-4173 Ph: (508) 740-4316 | Jacqueline Wilson, MED LMHC 6 Cabot Pl Ste 6, Stoughton, MA 02072-4625 Ph: (508) 740-4316 |
Ashia Noelle Johnson-merritt, Counselor Medicare: Not Enrolled in Medicare Practice Location: 647 School St, Stoughton, MA 02072 Phone: 857-291-3007 | |
Katherine Leivy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 909 Sumner St, Stoughton, MA 02072 Phone: 800-444-1554 | |
Leigh Riley, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 450 Pearl St, Suite 3&3b, Stoughton, MA 02072 Phone: 617-281-2485 | |
Ms. Maria Mercedes Rios Brache, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 532 Page St, Stoughton, MA 02072 Phone: 305-778-9601 | |
John Mayo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Rockland St, Stoughton, MA 02072 Phone: 781-232-9308 | |
Alaa Tello, Counselor Medicare: Not Enrolled in Medicare Practice Location: 450 Pearl St Ste 3, Stoughton, MA 02072 Phone: 781-344-0057 | |
Daphne Rollande Claudomir, M. ED. Counselor Medicare: Medicare Enrolled Practice Location: 966 Park St Ste A2, Stoughton, MA 02072 Phone: 781-885-7530 |