Nichole Seguin, LMHC | |
2452 State Route 9 Ste 206, Malta, NY 12020-4448 | |
(518) 242-6980 | |
Not Available |
Full Name | Nichole Seguin |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2452 State Route 9 Ste 206, Malta, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881131050 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | P04454 (New York) | Secondary |
101YM0800X | Counselor - Mental Health | 010090-01 (New York) | Primary |
Entity Name | Parsons Child And Family Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922171305 PECOS PAC ID: 9931403656 Enrollment ID: O20160201001282 |
Mailing Address | Practice Location Address |
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Nichole Seguin, LMHC 2452 State Route 9 Ste 206, Malta, NY 12020-4448 Ph: (518) 242-6980 | Nichole Seguin, LMHC 2452 State Route 9 Ste 206, Malta, NY 12020-4448 Ph: (518) 242-6980 |
John Durden, MSW Counselor Medicare: Medicare Enrolled Practice Location: 2452 Route 9, Suite 206, Malta, NY 12020 Phone: 518-292-5433 Fax: 518-899-4930 | |
Ms. Carly Rose Ward, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2452 Route 9, Suite 206, Malta, NY 12020 Phone: 518-410-1896 | |
Ms. Dawn M Howk, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 5 Hemphill Place, Suite 121, Malta, NY 12020 Phone: 518-289-5072 Fax: 518-289-5225 | |
Brittany Glenn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2452 Route 9, Suite 206, Malta, NY 12020 Phone: 518-704-5803 | |
Roland Graves Jr., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2691 State Route 9 Ste 204, Malta, NY 12020 Phone: 518-309-2192 | |
Mrs. Erin Gorman, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Saratoga Village Blvd Ste 26, Malta, NY 12020 Phone: 518-859-0985 | |
Nicole Edwards, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2425 Route 9, Malta, NY 12020 Phone: 518-250-6377 |