| Kelley M Tessier Llc | |
|
28 Cornelia Ct Unit 104 Milton VT 05468-4657 | |
| (802) 274-8116 | |
| Not Available |
| Full Name | Kelley M Tessier Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 28 Cornelia Ct Unit 104, Milton, Vermont |
| Authorized Official Name and Position | Kelley Tessier (SELF) |
| Authorized Official Contact | 8022748116 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kelley M Tessier Llc 28 Cornelia Ct Unit 104 Milton VT 05468-4657 Ph: () - | Kelley M Tessier Llc 28 Cornelia Ct Unit 104 Milton VT 05468-4657 Ph: (802) 274-8116 |
| NPI Number | 1386411270 |
|---|---|
| Provider Enumeration Date | 12/11/2023 |
| Last Update Date | 12/11/2023 |
| Certification Date | 12/11/2023 |
| Medicare PECOS PAC ID | 1850735325 |
|---|---|
| Medicare Enrollment ID | O20240223000687 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386411270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Kelley Marie Tessier |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144633645 PECOS PAC ID: 2769826239 Enrollment ID: I20240223000758 |
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