Mr Stephen Medina Jr, LMHC | |
70 Washington St Ste 404, Salem, MA 01970-3520 | |
(978) 637-8213 | |
Not Available |
Full Name | Mr Stephen Medina Jr |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 70 Washington St Ste 404, Salem, Massachusetts |
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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1154785582 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | 12088 (Massachusetts) | Primary |
Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20110725000191 |
Mailing Address | Practice Location Address |
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Mr Stephen Medina Jr, LMHC 351 Water St, Bridgewater, MA 02324-2723 Ph: () - | Mr Stephen Medina Jr, LMHC 70 Washington St Ste 404, Salem, MA 01970-3520 Ph: (978) 637-8213 |
Miss Gina Marie Rabbitt, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 172 Lafayette St, Salem, MA 01970 Phone: 978-744-1386 Fax: 978-740-4996 | |
Sonya Pelletier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Congress St, Suite 214, Salem, MA 01970 Phone: 978-542-1951 Fax: 978-542-1954 | |
Heather Breen Nore, COUNSELING INTERN Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Highland Ave, Salem, MA 01970 Phone: 978-573-4310 | |
Caitlin Molly Axelrod-mcleod, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Congress St, Suite 214, Salem, MA 01970 Phone: 978-688-5222 | |
Caitlin Bryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 Washington St Ste 206, Salem, MA 01970 Phone: 978-306-2742 | |
Stephen Dennesen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Congress St Ste 214, Salem, MA 01970 Phone: 978-542-1951 | |
Mrs. Sarah Emily Blacker, MT-BC Counselor Medicare: Not Enrolled in Medicare Practice Location: 56 Forrester St # 2, Salem, MA 01970 Phone: 617-233-7771 |