| Jared Proulx, | |
|
130 Maple St Ste 325, Springfield, MA 01103-2215 | |
| (413) 737-9544 | |
| Not Available |
| Full Name | Jared Proulx |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 130 Maple St Ste 325, Springfield, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417128885 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 6497 (Massachusetts) | Primary |
| Entity Name | Northeast Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225067481 PECOS PAC ID: 6901866706 Enrollment ID: O20041015000643 |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Proulx, 130 Maple St Ste 325, Springfield, MA 01103-2215 Ph: () - | Jared Proulx, 130 Maple St Ste 325, Springfield, MA 01103-2215 Ph: (413) 737-9544 |
Mrs. Linda Ann Lynch, RN, LADC 1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 2257 Main St, Springfield, MA 01107 Phone: 413-733-3488 Fax: 413-731-7381 | |
Ms. Alycia Felton, B.S.W Counselor Medicare: Not Enrolled in Medicare Practice Location: 1695 Main Street, Springfield, MA 01103 Phone: 413-739-5572 | |
Ms. Jeanette Alicea, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Maple St, Springfield, MA 01103 Phone: 413-846-0445 Fax: 413-846-0447 | |
Gustavo Adolfo Guevara, Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Maple St, Springfield, MA 01105 Phone: 413-736-0127 Fax: 413-781-1059 | |
Edna A Martinez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 120 Maple St, Springfield, MA 01105 Phone: 413-846-0445 Fax: 413-846-0447 | |
Jessica N Darling, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1695 Main St, Springfield, MA 01103 Phone: 413-739-5572 Fax: 413-739-9972 | |
Leah Kabue, Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 Sherman St, Springfield, MA 01109 Phone: 413-739-5626 |