Jordan Alston, | |
6722 Erie Rd, Derby, NY 14047-9670 | |
(716) 947-5025 | |
Not Available |
Full Name | Jordan Alston |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 6722 Erie Rd, Derby, 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 |
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1326683343 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Harmonia Collaborative Care Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497828461 PECOS PAC ID: 8628062460 Enrollment ID: O20040413001589 |
Mailing Address | Practice Location Address |
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Jordan Alston, 6722 Erie Rd, Derby, NY 14047-9670 Ph: (716) 947-5025 | Jordan Alston, 6722 Erie Rd, Derby, NY 14047-9670 Ph: (716) 947-5025 |
Mrs. Tina Lyon Dell, M.ED., NCC, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6708 Old Lake Shore Road, Derby, NY 14047 Phone: 716-947-2077 | |
Valerie A Nowak, MHC Counselor Medicare: Medicare Enrolled Practice Location: 6722 Erie Rd, Derby, NY 14047 Phone: 716-947-5025 | |
Dr. Laura Marie Spencer, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 6722 Erie Rd, Derby, NY 14047 Phone: 716-947-5025 Fax: 716-947-5099 | |
Mary Beth Mccormick, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6722 Erie Rd, Derby, NY 14047 Phone: 716-947-5025 | |
Alexandra Mott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6910 Hamilton Dr, Derby, NY 14047 Phone: 716-352-9722 | |
Mary Katherine Nolan-eaton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6722 Erie Rd, Derby, NY 14047 Phone: 716-947-5025 |