| M.j.a. Behavioral Health And Wellness | |
|
9 Karlak St Seymour CT 06483-2617 | |
| (914) 843-9406 | |
| Not Available |
| Full Name | M.j.a. Behavioral Health And Wellness |
|---|---|
| Speciality | Counselor |
| Location | 9 Karlak St, Seymour, Connecticut |
| Authorized Official Name and Position | Cassandra Dessureau-o'hara (OWNER) |
| Authorized Official Contact | 9148439406 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| M.j.a. Behavioral Health And Wellness 9 Karlak St Seymour CT 06483-2617 Ph: (914) 843-9406 | M.j.a. Behavioral Health And Wellness 9 Karlak St Seymour CT 06483-2617 Ph: (914) 843-9406 |
| NPI Number | 1215663018 |
|---|---|
| Provider Enumeration Date | 07/26/2022 |
| Last Update Date | 07/26/2022 |
| Certification Date | 07/26/2022 |
| Medicare PECOS PAC ID | 8820441264 |
|---|---|
| Medicare Enrollment ID | O20240201000952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215663018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Cassandra Joy Dessureau-o'hara |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801498910 PECOS PAC ID: 9739532177 Enrollment ID: I20240201001291 |
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