Enso Counseling Group, Pllc | |
1 Barberry Ln Concord NH 03301-2417 | |
(617) 819-0914 | |
Not Available |
Full Name | Enso Counseling Group, Pllc |
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Speciality | Counselor |
Location | 1 Barberry Ln, Concord, New Hampshire |
Authorized Official Name and Position | Scot Wilson (PARTNER) |
Authorized Official Contact | 9787041861 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Enso Counseling Group, Pllc Po Box 4041 Concord NH 03302-4041 Ph: () - | Enso Counseling Group, Pllc 1 Barberry Ln Concord NH 03301-2417 Ph: (617) 819-0914 |
NPI Number | 1598360752 |
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Provider Enumeration Date | 12/03/2020 |
Last Update Date | 08/18/2024 |
Certification Date | 08/18/2024 |
Medicare PECOS PAC ID | 1759795321 |
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Medicare Enrollment ID | O20210122002352 |
Identifier | Type | State | Issuer |
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1598360752 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Tracey A Coulon |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1427171842 PECOS PAC ID: 1759465255 Enrollment ID: I20080222000031 |
Provider Name | Kristy M Moen |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1922168079 PECOS PAC ID: 6709020571 Enrollment ID: I20130917000419 |
Provider Name | Kimberly Shaw |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1992157879 PECOS PAC ID: 1456686906 Enrollment ID: I20190705001078 |
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