| Marcia Ellen Reese, MED LCMHC | |
|
24 Foothills Drive, Jericho, VT 05465 | |
| (802) 899-3800 | |
| (802) 899-3800 |
| Full Name | Marcia Ellen Reese |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 24 Foothills Drive, Jericho, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265500482 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 0680000006 (Vermont) | Secondary |
| 101YM0800X | Counselor - Mental Health | 068-0000006 (Vermont) | Primary |
| Entity Name | Alive & Well Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932967346 PECOS PAC ID: 9234576166 Enrollment ID: O20240327000798 |
| Mailing Address | Practice Location Address |
|---|---|
| Marcia Ellen Reese, MED LCMHC 24 Foothills Drive, Jericho, VT 05465 Ph: (802) 899-3800 | Marcia Ellen Reese, MED LCMHC 24 Foothills Drive, Jericho, VT 05465 Ph: (802) 899-3800 |
Anna Viktoria Bergman, Counselor Medicare: Medicare Enrolled Practice Location: 14 Willow Ln, Jericho, VT 05465 Phone: 802-858-9369 | |
Anne L Edgley, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 213 Vt Route 15 Ste A, Jericho, VT 05465 Phone: 802-858-5504 | |
Savanna O'connor, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 59 Fields Ln, Jericho, VT 05465 Phone: 518-569-3369 |