Lisa Fredman, | |
86 Baker Avenue Ext Ste 100, Concord, MA 01742-2132 | |
(978) 369-1113 | |
(978) 369-0908 |
Full Name | Lisa Fredman |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 86 Baker Avenue Ext Ste 100, Concord, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568012110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | 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 |
Mailing Address | Practice Location Address |
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Lisa Fredman, 86 Baker Avenue Ext Ste 100, Concord, MA 01742-2132 Ph: (978) 369-1113 | Lisa Fredman, 86 Baker Avenue Ext Ste 100, Concord, MA 01742-2132 Ph: (978) 369-1113 |
Judith Glixon, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Old Road To 9 Acre Cor, Concord, MA 01742 Phone: 978-369-1113 Fax: 978-369-0908 | |
Mr. Jeff C Desjarlais, Counselor Medicare: Not Enrolled in Medicare Practice Location: 185 Main St, Concord, MA 01742 Phone: 978-402-2336 | |
Constance Dimarino, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Old Road To 9 Acre Cor, Concord, MA 01742 Phone: 978-369-1113 | |
Mr. Christopher Hardiman, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Old Road To 9 Acre Cor, Concord, MA 01742 Phone: 978-369-1113 Fax: 978-369-0908 | |
Nicole Sheehan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 86 Baker Avenue Ext Ste 100, Concord, MA 01742 Phone: 978-369-1113 Fax: 978-369-0908 | |
Kristen Kenney, Counselor Medicare: Not Enrolled in Medicare Practice Location: 236 Partridge Ln, Concord, MA 01742 Phone: 617-763-7200 | |
Gabrielle Kosta, Counselor Medicare: Not Enrolled in Medicare Practice Location: 86 Baker Avenue Ext Ste 100, Concord, MA 01742 Phone: 978-369-1113 Fax: 978-369-0908 |