| Mackenzie Desclos, | |
|
7 Works Way, Somersworth, NH 03878-1639 | |
| (603) 516-9399 | |
| Not Available |
| Full Name | Mackenzie Desclos |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 9 Years |
| Location | 7 Works Way, Somersworth, New Hampshire |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013498112 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Lakes Region Mental Health Center, Inc | 7911957964 | 21 |
| Entity Name | The Lakes Region Mental Health Center, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902994866 PECOS PAC ID: 7911957964 Enrollment ID: O20050127000134 |
| Mailing Address | Practice Location Address |
|---|---|
| Mackenzie Desclos, 7 Works Way, Somersworth, NH 03878-1639 Ph: (603) 516-9399 | Mackenzie Desclos, 7 Works Way, Somersworth, NH 03878-1639 Ph: (603) 516-9399 |
Philip Gleason, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Route 108, Somersworth, NH 03878 Phone: 603-953-0077 | |
Stephen Michael Kurtz Sr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Route 108, Somersworth, NH 03878 Phone: 603-953-0077 | |
Mckenzie Tessier, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Route 108, Somersworth, NH 03878 Phone: 603-953-0077 Fax: 603-953-0078 | |
Christopher Paul Trask, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 311 Route 108, Somersworth, NH 03878 Phone: 603-749-2346 Fax: 603-953-0066 | |
Kristine Bowers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Route 108, Somersworth, NH 03878 Phone: 603-953-0077 | |
Patricia Henricks, Counselor Medicare: Not Enrolled in Medicare Practice Location: 200 Route 108, Somersworth, NH 03878 Phone: 603-953-0078 |