Mr Andrew Keodara Phomthavong, MSW | |
298 Walker Street, Lowell, MA 01851 | |
(619) 743-9052 | |
Not Available |
Full Name | Mr Andrew Keodara Phomthavong |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 298 Walker Street, Lowell, Massachusetts |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003110990 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
Mr Andrew Keodara Phomthavong, MSW 298 Walker St, Lowell, MA 01851-1848 Ph: (619) 743-9052 | Mr Andrew Keodara Phomthavong, MSW 298 Walker Street, Lowell, MA 01851 Ph: (619) 743-9052 |
Miss Morgan Elizabeth Walter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 73 E Merrimack St, Lowell, MA 01852 Phone: 978-221-6923 | |
Mr. John Matthew Mulkern, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 45 Merrimack St, Suite 200, Lowell, MA 01852 Phone: 978-459-2306 Fax: 978-453-9394 | |
Kathy Jean Bergeron, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Market St, Bridgewell 2nd Floor, Lowell, MA 01852 Phone: 978-459-0389 Fax: 978-459-7642 | |
Mrs. Alejandra Obando Macdonnell, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 148 Warren St, Lowell, MA 01852 Phone: 781-608-3370 | |
Melissa Mignolia Cabrera, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 77 E Merrimack St, Lowell, MA 01852 Phone: 978-349-4205 Fax: 978-221-6924 | |
Mr. Daniel Allen Sullivan Jr., M.ED. Counselor Medicare: Medicare Enrolled Practice Location: 161 Jackson St, Lowell, MA 01852 Phone: 978-937-9700 |