| Jamie Lyn Squires, | |
|
7489 Right Flank Rd Ste 330, Mechanicsville, VA 23116-3845 | |
| (804) 398-8401 | |
| Not Available |
| Full Name | Jamie Lyn Squires |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 7489 Right Flank Rd Ste 330, Mechanicsville, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215619200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Entity Name | Old Towne Counseling Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487855003 PECOS PAC ID: 7618149865 Enrollment ID: O20111011000695 |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Lyn Squires, 6921 Osborne Tpke, Henrico, VA 23231-5658 Ph: (804) 426-3005 | Jamie Lyn Squires, 7489 Right Flank Rd Ste 330, Mechanicsville, VA 23116-3845 Ph: (804) 398-8401 |
Mr. David James Rogers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10426 Summer Hill Rd, Mechanicsville, VA 23116 Phone: 804-922-1486 | |
Ms. Susan Leigh Stone, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9097 Atlee Station Rd Ste 318, Mechanicsville, VA 23116 Phone: 804-834-7989 | |
Mr. Jeffrey S Parsons, RESIDENT IN COUNSELI Counselor Medicare: Not Enrolled in Medicare Practice Location: 7308 Hanover Green Dr Ste 300, Mechanicsville, VA 23111 Phone: 804-781-4418 | |
Ms. Jessie Lee Bryant, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7301 Hanover Green Dr, Mechanicsville, VA 23111 Phone: 804-874-9929 | |
Mary Polce-lynch, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 7515 Right Flank Rd, Mechanicsville, VA 23116 Phone: 804-288-4084 Fax: 804-559-2046 | |
Ms. Sarah Elise Gathright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8021 Lee Davis Rd, Mechanicsville, VA 23111 Phone: 804-723-2270 | |
Alison Bollander, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7052 Mechanicsville Tpke, Mechanicsville, VA 23111 Phone: 804-723-2258 |