Ms Diane M Wilson, MED | |
205 School St. #202, Gardner, MA 01440 | |
(978) 630-4918 | |
(978) 630-3049 |
Full Name | Ms Diane M Wilson |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 205 School St. #202, Gardner, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184141632 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Massachusetts) | Primary |
Entity Name | Youth Opportunities Upheld Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245317205 PECOS PAC ID: 9638190374 Enrollment ID: O20051209000469 |
Mailing Address | Practice Location Address |
---|---|
Ms Diane M Wilson, MED 205 School St Ste 202, Gardner, MA 01440-2781 Ph: (978) 630-4918 | Ms Diane M Wilson, MED 205 School St. #202, Gardner, MA 01440 Ph: (978) 630-4918 |
Josephine Marshall, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 School St Ste 301, Gardner, MA 01440 Phone: 978-632-9400 | |
John Cardinal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 171 Graham St, Gardner, MA 01440 Phone: 978-632-4574 | |
Ella May Alston, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 School St, Gardner, MA 01440 Phone: 978-488-8888 | |
Ms. Kristen Lee Lunden, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 486 Chestnut St, Gardner, MA 01440 Phone: 978-502-9720 | |
Daniela Andrea Londono, Counselor Medicare: Not Enrolled in Medicare Practice Location: 76 Ash St Bsmt, Gardner, MA 01440 Phone: 321-301-9154 | |
Mrs. Karyn Madden, B.S.HUMAN DEVELOPMEN Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Lake St, Gardner, MA 01440 Phone: 978-632-4432 Fax: 978-632-6022 | |
Ms. Kasandra Ann Harper, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Lake St Ste 180, Gardner, MA 01440 Phone: 774-293-2425 |