Mrs Jordan A Wilson, LMHC | |
100 Cambridge St Fl 14, Boston, MA 02114-2509 | |
(832) 744-2371 | |
Not Available |
Full Name | Mrs Jordan A Wilson |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 100 Cambridge St Fl 14, Boston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245301845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LMHC6792 (Massachusetts) | Primary |
101YM0800X | Counselor - Mental Health | 6792 (Massachusetts) | Secondary |
Entity Name | Trust Therapeutics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1023500824 PECOS PAC ID: 2163886912 Enrollment ID: O20230912001728 |
Mailing Address | Practice Location Address |
---|---|
Mrs Jordan A Wilson, LMHC 99 Atkinson Dr, Bridgewater, MA 02324-3501 Ph: (617) 803-8953 | Mrs Jordan A Wilson, LMHC 100 Cambridge St Fl 14, Boston, MA 02114-2509 Ph: (832) 744-2371 |
Ms. Anna Roglieri, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
David Bailey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Sycamore St Apt 2, Boston, MA 02131 Phone: 857-383-9811 | |
Bena Berry, Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Staniford St, Boston, MA 02114 Phone: 978-728-2659 | |
Mehak Avasthi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 340 W 2nd St Apt 8, Boston, MA 02127 Phone: 413-399-2926 | |
Anthony Dussard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 313 Congress St Fl 5, Boston, MA 02210 Phone: 987-216-0256 | |
Dr. Carole Ruth Bohn, EDD Counselor Medicare: Not Enrolled in Medicare Practice Location: 185 Bay State Rd, Boston, MA 02215 Phone: 617-353-3047 Fax: 617-353-5539 | |
Jolie Pate, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 17 Bowdoin St, Boston, MA 02114 Phone: 857-891-9479 |