Kathie Dalum, | |
23 Mellen St Fl 5, Cambridge, MA 02138-2757 | |
(857) 331-6331 | |
Not Available |
Full Name | Kathie Dalum |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 23 Mellen St Fl 5, Cambridge, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184305922 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LMHC10000663 (Massachusetts) | Primary |
Entity Name | Riverside Community Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780791467 PECOS PAC ID: 6709799885 Enrollment ID: O20031106000306 |
Mailing Address | Practice Location Address |
---|---|
Kathie Dalum, 4441 Old College Rd Apt 7103, Bryan, TX 77801-3534 Ph: (979) 739-4385 | Kathie Dalum, 23 Mellen St Fl 5, Cambridge, MA 02138-2757 Ph: (857) 331-6331 |
Glorimar Gonzalez-raices, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Dudley St, Cambridge, MA 02140 Phone: 413-265-4794 | |
Ms. Gopi Dhokai, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 545 Concord Ave Ste 14, Cambridge, MA 02138 Phone: 240-506-9768 | |
Marisa Anderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1158 Massachusetts Ave Fl 3, Cambridge, MA 02138 Phone: 857-314-0554 | |
Mr. Pavan S. Brar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1493 Cambridge St Rm 239, Cambridge, MA 02139 Phone: 617-575-5399 | |
Carlos Suarez, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Sacramento St, Cambridge, MA 02138 Phone: 617-354-2275 Fax: 617-547-4356 | |
Susan M Dingsor, Counselor Medicare: Not Enrolled in Medicare Practice Location: 350 Cambridge St, Cambridge, MA 02141 Phone: 617-547-0909 | |
Christian Hanson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 929 Massachusetts Ave Ste M03, Cambridge, MA 02139 Phone: 339-666-8516 |