| Judy Gabriel Card, Inc. | |
|
2510 Cranberry Hwy Wareham MA 02571-1019 | |
| (774) 766-3382 | |
| Not Available |
| Full Name | Judy Gabriel Card, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 2510 Cranberry Hwy, Wareham, Massachusetts |
| Authorized Official Name and Position | Judy Gabriel-card (OWNER) |
| Authorized Official Contact | 5087891148 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Judy Gabriel Card, Inc. Po Box 180 Wareham MA 02571-0180 Ph: (508) 789-1148 | Judy Gabriel Card, Inc. 2510 Cranberry Hwy Wareham MA 02571-1019 Ph: (774) 766-3382 |
| NPI Number | 1609603109 |
|---|---|
| Provider Enumeration Date | 09/18/2024 |
| Last Update Date | 09/18/2024 |
| Certification Date | 09/18/2024 |
| Medicare PECOS PAC ID | 2466983341 |
|---|---|
| Medicare Enrollment ID | O20241002002544 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609603109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Judy B. Gabriel-card |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144303785 PECOS PAC ID: 9830620707 Enrollment ID: I20241018001262 |
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