Martha J Hernandez, LCPCC | |
143 Pottle Rd, Oxford, ME 04270-3362 | |
(207) 743-7911 | |
Not Available |
Full Name | Martha J Hernandez |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 143 Pottle Rd, Oxford, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1396983185 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | XL3274 (Maine) | Primary |
Entity Name | Health Affiliates Maine, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932413556 PECOS PAC ID: 1951594076 Enrollment ID: O20101021000912 |
Mailing Address | Practice Location Address |
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Martha J Hernandez, LCPCC 143 Pottle Rd, Oxford, ME 04270-3362 Ph: () - | Martha J Hernandez, LCPCC 143 Pottle Rd, Oxford, ME 04270-3362 Ph: (207) 743-7911 |
James Edward Douglas, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 Pottle Rd, Oxford, ME 04270 Phone: 207-743-7911 Fax: 204-743-7913 | |
Miranda Laperle, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 Pottle Rd, Oxford, ME 04270 Phone: 207-783-4663 | |
Delores Leavitt Wetter, APRN, BC, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 Pottle Rd, Oxford, ME 04270 Phone: 207-743-7911 Fax: 207-743-7913 | |
Janice Dumais, LMSW-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 Pottle Rd, Oxford, ME 04270 Phone: 207-743-7911 Fax: 207-743-7913 | |
Gemma Rogers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 Pottle Rd, Oxford, ME 04270 Phone: 207-743-7911 | |
Heather L Jacoby, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 47 Pleasant St, Oxford, ME 04270 Phone: 207-240-4637 |