Martha M Klaczak, LMHC, LADCI, CADACII | |
12 Littleville Rd, Huntington, MA 01050-9761 | |
(413) 667-0142 | |
(413) 667-0145 |
Full Name | Martha M Klaczak |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 12 Littleville Rd, Huntington, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144290867 | NPI | - | NPPES |
327 | Other | MA | LADCI |
0896AL | Other | MA | CADACII |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 1147 (Massachusetts) | Primary |
Entity Name | Behavioral Health Network Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477582609 PECOS PAC ID: 3072596360 Enrollment ID: O20040608001373 |
Mailing Address | Practice Location Address |
---|---|
Martha M Klaczak, LMHC, LADCI, CADACII Po Box 10415, 230 Southampton Rd, Holyoke, MA 01041-2015 Ph: (413) 534-5860 | Martha M Klaczak, LMHC, LADCI, CADACII 12 Littleville Rd, Huntington, MA 01050-9761 Ph: (413) 667-0142 |
Mrs. Sheri L Johnson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 73 Russell Rd, Huntington, MA 01050 Phone: 413-667-3009 Fax: 413-667-8746 | |
Josefina Amalia Speckert, MED, LMHC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 73 Russell Rd, Huntington, MA 01050 Phone: 413-667-0039 Fax: 413-667-8746 |