| Jonathan Chack, MA | |
|
10 East St, Ayer, MA 01432-1805 | |
| (978) 464-1048 | |
| Not Available |
| Full Name | Jonathan Chack |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 10 East St, Ayer, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922312347 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 7572 (Massachusetts) | Primary |
| Entity Name | Forensic Consultation & Counseling Service |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083997563 PECOS PAC ID: 2668865205 Enrollment ID: O20220203001373 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Chack, MA 10 East St, Ayer, MA 01432-1805 Ph: (978) 464-1048 | Jonathan Chack, MA 10 East St, Ayer, MA 01432-1805 Ph: (978) 464-1048 |
Joann Elizabeth Harney, LADC1 Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Depot Sq, Ayer, MA 01432 Phone: 978-772-1846 | |
Dr. Bruce Vern Loding, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 42 Patton Road, Ayer, MA 01432 Phone: 978-796-1000 | |
Mrs. Sally Floyd, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 34 Main Street, Ayer, MA 01432 Phone: 978-772-1846 | |
Pennie Oake, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Depot Sq, Ayer, MA 01432 Phone: 978-772-1846 Fax: 978-772-2364 | |
Sheila Kelly, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Littleton Rd Unit 2d, Ayer, MA 01432 Phone: 978-394-6033 Fax: 978-394-6033 | |
Dr. Hilary Ann Curtis, PH.D., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 190 Groton Rd Ste 230, Ayer, MA 01432 Phone: 978-796-5054 Fax: 978-796-5460 | |
Ms. Christa L Maxant, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 46 Washington St, Ayer, MA 01432 Phone: 978-875-0495 |