Stacey Koekkoek | |
260 Boston Post Rd Suite 11 Wayland MA 01778-1889 | |
(508) 276-1743 | |
Not Available |
Full Name | Stacey Koekkoek |
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Speciality | Counselor - Mental Health |
Location | 260 Boston Post Rd, Wayland, Massachusetts |
Authorized Official Name and Position | Stacey Koekkoek (PSYCHOTHERAPIST/DIETITIAN) |
Authorized Official Contact | 5082761743 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Stacey Koekkoek 260 Boston Post Rd Suite 11 Wayland MA 01778-1889 Ph: (508) 276-1743 | Stacey Koekkoek 260 Boston Post Rd Suite 11 Wayland MA 01778-1889 Ph: (508) 276-1743 |
NPI Number | 1316364375 |
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Provider Enumeration Date | 03/27/2014 |
Last Update Date | 04/04/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316364375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 8490 (Massachusetts) | Primary |
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