Mark Nickolas, | |
872 Massachusetts Ave, Suite 2-2, Cambridge, MA 02139-3073 | |
(617) 395-5806 | |
Not Available |
Full Name | Mark Nickolas |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 872 Massachusetts Ave, 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 |
---|---|---|---|
1851656458 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 7926 (Massachusetts) | Primary |
Entity Name | Inner Resources Counseling, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669079729 PECOS PAC ID: 0840643409 Enrollment ID: O20240130003434 |
Mailing Address | Practice Location Address |
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Mark Nickolas, 872 Massachusetts Ave, Suite 2-2, Cambridge, MA 02139-3073 Ph: () - | Mark Nickolas, 872 Massachusetts Ave, Suite 2-2, Cambridge, MA 02139-3073 Ph: (617) 395-5806 |
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 |