James P. Bresnahan | |
55 Cedar St Worcester MA 01609-4101 | |
(508) 752-1170 | |
(508) 752-1800 |
Full Name | James P. Bresnahan |
---|---|
Speciality | Counselor |
Location | 55 Cedar St, Worcester, Massachusetts |
Authorized Official Name and Position | James Patrick Bresnahan (OWNER) |
Authorized Official Contact | 5087521170 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
James P. Bresnahan 55 Cedar St Worcester MA 01609-4101 Ph: (508) 752-1170 | James P. Bresnahan 55 Cedar St Worcester MA 01609-4101 Ph: (508) 752-1170 |
NPI Number | 1023289782 |
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Provider Enumeration Date | 03/20/2008 |
Last Update Date | 03/20/2008 |
Medicare PECOS PAC ID | 5193167682 |
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Medicare Enrollment ID | O20240529003836 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023289782 | NPI | - | NPPES |
Y10400 | Other | MA | 1308785, 2220002001 |
1306421 | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 4524 (Massachusetts) | Primary |
Provider Name | James Patrick Bresnahan |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1215031802 PECOS PAC ID: 6002258597 Enrollment ID: I20240529003919 |
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