Jason Sutton, | |
122 Langley Rd N Ste A, Glen Burnie, MD 21060-6531 | |
(410) 222-6785 | |
Not Available |
Full Name | Jason Sutton |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 122 Langley Rd N Ste A, Glen Burnie, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174819320 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LC3300 (Maryland) | Primary |
Entity Name | County Of Lake |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164446712 PECOS PAC ID: 7214838861 Enrollment ID: O20040116000192 |
Mailing Address | Practice Location Address |
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Jason Sutton, 3010 Grand Ave, Waukegan, IL 60085-2321 Ph: (847) 377-8106 | Jason Sutton, 122 Langley Rd N Ste A, Glen Burnie, MD 21060-6531 Ph: (410) 222-6785 |
Ms. Leslie A Stanbury, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Langley Road North, Suite B, Glen Burnie, MD 21060 Phone: 410-222-0100 Fax: 410-222-0116 | |
Sharon Clements, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1410 Crain Hwy N, Glen Burnie, MD 21061 Phone: 443-768-7235 | |
Tracey Letourneau, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 114 Alview Ter, Glen Burnie, MD 21060 Phone: 443-591-6418 | |
Ms. Traci A. Olivier, CSC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 122 Langley Road North, Suite B, Glen Burnie, MD 21060 Phone: 410-222-0100 Fax: 410-222-0116 | |
Allison Tate Pastine, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7401 Ritchie Hwy, Glen Burnie, MD 21061 Phone: 443-250-6653 Fax: 410-740-8068 | |
Tiffany Nicole Huff, ADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1401 Madison Park Dr, Glen Burnie, MD 21061 Phone: 410-999-0891 | |
Mary Hanauska Ferreira, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Greenway St Nw, Suite 5, Glen Burnie, MD 21061 Phone: 410-760-9079 Fax: 410-760-1121 |