| Jason Mishoe, Llc | |
|
197 Palmer Ave Unit 154 Falmouth MA 02540-2806 | |
| (352) 256-9347 | |
| Not Available |
| Full Name | Jason Mishoe, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 197 Palmer Ave Unit 154, Falmouth, Massachusetts |
| Authorized Official Name and Position | Jason Mishoe (PROVIDER) |
| Authorized Official Contact | 3522569347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Mishoe, Llc 197 Palmer Ave Unit 154 Falmouth MA 02540-2806 Ph: () - | Jason Mishoe, Llc 197 Palmer Ave Unit 154 Falmouth MA 02540-2806 Ph: (352) 256-9347 |
| NPI Number | 1992587943 |
|---|---|
| Provider Enumeration Date | 10/16/2023 |
| Last Update Date | 10/16/2023 |
| Certification Date | 10/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992587943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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