Mr Derrick Lee Cotnoir, BA | |
8 Atwood Dr Ste 201, Northampton, MA 01060-4266 | |
(413) 582-0471 | |
Not Available |
Full Name | Mr Derrick Lee Cotnoir |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 8 Atwood Dr Ste 201, Northampton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659880011 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Clinical & Support Options, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831265115 PECOS PAC ID: 6608835350 Enrollment ID: O20041007000491 |
Mailing Address | Practice Location Address |
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Mr Derrick Lee Cotnoir, BA 217 State St # 2, Northampton, MA 01060-2244 Ph: (603) 219-5451 | Mr Derrick Lee Cotnoir, BA 8 Atwood Dr Ste 201, Northampton, MA 01060-4266 Ph: (413) 582-0471 |
Sharon Kozuch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 129 King St, Northampton, MA 01060 Phone: 413-586-5555 | |
Bernadette St George, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 Atwood Dr, 376 Pleasant Street, Northampton, MA 01060 Phone: 413-923-4368 | |
Matthew P Kelly, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Jackson St, Northampton, MA 01060 Phone: 215-565-5671 | |
Julie Elena Berriault, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 Atwood Dr, Northampton, MA 01060 Phone: 413-773-1314 | |
Ms. Sandra Leah Berchulski, MA LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 90 Conz St, Northampton, MA 01060 Phone: 413-320-5638 | |
Karissa Allyn Rigali, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 Atwood Dr, Suite 301, Northampton, MA 01060 Phone: 413-523-3653 | |
Ricky Jermaine Logan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 129 North King Street, Northampton, MA 01060 Phone: 413-585-1300 |