Alycia Erika Jurgela, LPC | |
345 Old Plymouth Rd, Sagamore Beach, MA 02562-2304 | |
(508) 333-1375 | |
Not Available |
Full Name | Alycia Erika Jurgela |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 345 Old Plymouth Rd, Sagamore Beach, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386945095 | NPI | - | NPPES |
11324 | Other | MA | MENTAL HEALTH LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (Utah) | Primary |
Entity Name | Sagamore Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952943284 PECOS PAC ID: 2062855265 Enrollment ID: O20240205002271 |
Mailing Address | Practice Location Address |
---|---|
Alycia Erika Jurgela, LPC 1370 S West Temple, Salt Lake City, UT 84115-5218 Ph: (801) 678-3317 | Alycia Erika Jurgela, LPC 345 Old Plymouth Rd, Sagamore Beach, MA 02562-2304 Ph: (508) 333-1375 |
Mr. Robert Santos Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 81 Norris Rd, Sagamore Beach, MA 02562 Phone: 781-534-3637 | |
Jeffrey Spruance, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 Fieldwood Dr, Sagamore Beach, MA 02562 Phone: 860-367-5070 | |
Ms. Corrine A Costello, Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Ocean Pines Dr, Sagamore Beach, MA 02562 Phone: 508-888-7828 |