| Jamie Brelsford Llc | |
|
123 Union St Ste 204 Easthampton MA 01027-4100 | |
| (413) 557-8330 | |
| Not Available |
| Full Name | Jamie Brelsford Llc |
|---|---|
| Speciality | Counselor |
| Location | 123 Union St Ste 204, Easthampton, Massachusetts |
| Authorized Official Name and Position | Dawn Lawler (OFFICE MANAGER) |
| Authorized Official Contact | 8007358951 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Brelsford Llc 21 Pine Hill Rd Easthampton MA 01027-9760 Ph: () - | Jamie Brelsford Llc 123 Union St Ste 204 Easthampton MA 01027-4100 Ph: (413) 557-8330 |
| NPI Number | 1558981241 |
|---|---|
| Provider Enumeration Date | 04/22/2020 |
| Last Update Date | 04/22/2020 |
| Certification Date | 04/22/2020 |
| Medicare PECOS PAC ID | 4183043979 |
|---|---|
| Medicare Enrollment ID | O20200928002754 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558981241 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Jamie L Brelsford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912480617 PECOS PAC ID: 8224375993 Enrollment ID: I20190204001567 |
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