Mackenzie Obrien, LMHC | |
165 Main St, Ste A, Cortland, NY 13045-3049 | |
(607) 753-0234 | |
Not Available |
Full Name | Mackenzie Obrien |
---|---|
Gender | Male |
Speciality | Counselor |
Location | 165 Main St, Cortland, 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 |
---|---|---|---|
1184190969 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | P09759 (New York) | Secondary |
101Y00000X | Counselor | 010998 (New York) | Primary |
Entity Name | Canino Lcsw Psychotherapy, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225220072 PECOS PAC ID: 2961589577 Enrollment ID: O20080407000697 |
Mailing Address | Practice Location Address |
---|---|
Mackenzie Obrien, LMHC 165 Main St, Ste A, Cortland, NY 13045-3049 Ph: (607) 753-0234 | Mackenzie Obrien, LMHC 165 Main St, Ste A, Cortland, NY 13045-3049 Ph: (607) 753-0234 |
Tristen E Turkow, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 Main St. Ste A, Cortland, NY 13045 Phone: 607-753-0234 | |
Sarah Elizabeth Loomis, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 Main St Ste A, Cortland, NY 13045 Phone: 607-753-0234 | |
Kayla Curtis, MHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 N Main St, Cortland, NY 13045 Phone: 607-753-0234 Fax: 607-299-4349 | |
Mrs. Kelley G Brown, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 N Main St, Cortland, NY 13045 Phone: 607-753-0234 Fax: 607-753-0286 | |
Jonathan D Moe, MS Counselor Medicare: Medicare Enrolled Practice Location: 10 N Main St, Cortland, NY 13045 Phone: 607-753-0234 Fax: 607-753-0286 | |
Wendy Hutton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 Main St, Ste A, Cortland, NY 13045 Phone: 607-753-0234 | |
Doretha Michelle Baker, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 Main St Ste A, Cortland, NY 13045 Phone: 607-753-0234 |