Mrs Jessica Carroll, | |
22 Old Canal Dr, Lowell, MA 01851-2730 | |
(617) 356-7690 | |
Not Available |
Full Name | Mrs Jessica Carroll |
---|---|
Gender | Female |
Speciality | Counselor |
Location | 22 Old Canal Dr, Lowell, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821466384 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Sb Transitional Sub Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962091173 PECOS PAC ID: 7911315379 Enrollment ID: O20210423000601 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jessica Carroll, 22 Old Canal Dr, Lowell, MA 01851-2730 Ph: (617) 356-7690 | Mrs Jessica Carroll, 22 Old Canal Dr, Lowell, MA 01851-2730 Ph: (617) 356-7690 |
Mr. Andrew Keodara Phomthavong, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 298 Walker Street, Lowell, MA 01851 Phone: 619-743-9052 | |
Miss Morgan Elizabeth Walter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 73 E Merrimack St, Lowell, MA 01852 Phone: 978-221-6923 | |
Mr. John Matthew Mulkern, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 45 Merrimack St, Suite 200, Lowell, MA 01852 Phone: 978-459-2306 Fax: 978-453-9394 | |
Kathy Jean Bergeron, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Market St, Bridgewell 2nd Floor, Lowell, MA 01852 Phone: 978-459-0389 Fax: 978-459-7642 | |
Mrs. Alejandra Obando Macdonnell, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 148 Warren St, Lowell, MA 01852 Phone: 781-608-3370 | |
Melissa Mignolia Cabrera, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 77 E Merrimack St, Lowell, MA 01852 Phone: 978-349-4205 Fax: 978-221-6924 | |
Mr. Daniel Allen Sullivan Jr., M.ED. Counselor Medicare: Medicare Enrolled Practice Location: 161 Jackson St, Lowell, MA 01852 Phone: 978-937-9700 |