| Erica Shannon Golden, | |
|
44 S Main St, Randolph, VT 05060-1381 | |
| (716) 807-5804 | |
| Not Available |
| Full Name | Erica Shannon Golden |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 44 S Main St, Randolph, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699079830 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Gifford Health Care Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013269430 PECOS PAC ID: 2668624982 Enrollment ID: O20121213000467 |
| Mailing Address | Practice Location Address |
|---|---|
| Erica Shannon Golden, 44 S Main St, Randolph, VT 05060-1381 Ph: (716) 807-5804 | Erica Shannon Golden, 44 S Main St, Randolph, VT 05060-1381 Ph: (716) 807-5804 |
Renee Weeks, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
David Pellegrino, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
Susan Stroud-speyers, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box G, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
Jessica Schupp, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Main Street, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
Howard Hood, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 11 S Main St, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 | |
Adam Bindrum, Counselor Medicare: Medicare Enrolled Practice Location: 11 N Main St, Randolph, VT 05060 Phone: 802-728-4466 | |
Chris Titchenal, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: Po Box G, Randolph, VT 05060 Phone: 802-728-4466 Fax: 802-728-4197 |