Krisha Shakya, LMHC | |
3920 Mystic Valley Pkwy, Medford, MA 02155-6912 | |
(617) 682-5873 | |
Not Available |
Full Name | Krisha Shakya |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 3920 Mystic Valley Pkwy, Medford, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366215972 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 12909 (Massachusetts) | Primary |
Entity Name | Eliot Community Human Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679648182 PECOS PAC ID: 2062488000 Enrollment ID: O20040909001199 |
Entity Name | Supportive Behavioral Care Of Ma Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1780115519 PECOS PAC ID: 8628346731 Enrollment ID: O20170614000877 |
Mailing Address | Practice Location Address |
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Krisha Shakya, LMHC 3920 Mystic Valley Pkwy, Medford, MA 02155-6912 Ph: () - | Krisha Shakya, LMHC 3920 Mystic Valley Pkwy, Medford, MA 02155-6912 Ph: (617) 682-5873 |
Ms. Socorro Ching, Counselor Medicare: Not Enrolled in Medicare Practice Location: 523 Winthrop St, Medford, MA 02155 Phone: 781-395-3822 | |
Miss Melissa Wood, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 151 Mystic Ave, Medford, MA 02155 Phone: 781-396-1199 Fax: 781-396-1439 | |
Barbara Joan Katz, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Cabot Road, Suite 209, Medford, MA 02155 Phone: 781-395-0625 Fax: 781-395-0198 | |
Jill N Dubendris, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Park St, Medford, MA 02155 Phone: 508-212-0299 | |
Mr. Jonathan Joseph Donahue, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 0 Governors Ave, Suite 20, Medford, MA 02155 Phone: 781-395-3086 Fax: 781-395-3086 | |
Hope Koram, Counselor Medicare: Medicare Enrolled Practice Location: 15 Carberry St, Medford, MA 02155 Phone: 617-756-6267 | |
Rosa Espiritusanto, Counselor Medicare: Not Enrolled in Medicare Practice Location: 42 High St, Medford, MA 02155 Phone: 781-760-9974 |