Lisa Maria Sullivan-jason, LMHC | |
912 Main St, Chatham, MA 02633-2745 | |
(508) 237-2027 | |
Not Available |
Full Name | Lisa Maria Sullivan-jason |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 912 Main St, Chatham, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831955657 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LMHC10000630 (Massachusetts) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20221007001608 |
Mailing Address | Practice Location Address |
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Lisa Maria Sullivan-jason, LMHC 912 Main St, Chatham, MA 02633-2745 Ph: (508) 237-2027 | Lisa Maria Sullivan-jason, LMHC 912 Main St, Chatham, MA 02633-2745 Ph: (508) 237-2027 |
James M Malone, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 16b Village Lndg, Chatham, MA 02633 Phone: 978-273-1551 | |
Dr. Maura Mccullough, PHD Counselor Medicare: Medicare Enrolled Practice Location: 29 Diane Dr, Chatham, MA 02633 Phone: 203-253-0885 | |
Mariela Emma Horsfall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Chatham Crest Dr, Chatham, MA 02633 Phone: 508-237-0143 |