| Mr Bryan C Plumb, LICSW, LADC | |
|
650 Suffolk St, Lowell, MA 01854-3642 | |
| (978) 452-5155 | |
| (978) 970-0713 |
| Full Name | Mr Bryan C Plumb |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 650 Suffolk St, Lowell, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295856045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 543 (New Hampshire) | Primary |
| 1041C0700X | Social Worker - Clinical | 110269 (Massachusetts) | Secondary |
| Entity Name | Merrimack Valley Counseling Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508905472 PECOS PAC ID: 1557325172 Enrollment ID: O20041115000169 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Bryan C Plumb, LICSW, LADC 35 Brenda Ln, Merrimack, NH 03054-2533 Ph: (603) 424-1668 | Mr Bryan C Plumb, LICSW, LADC 650 Suffolk St, Lowell, MA 01854-3642 Ph: (978) 452-5155 |
Mr. Andrew Keodara Phomthavong, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 298 Walker Street, Lowell, MA 01851 Phone: 619-743-9052 | |
Miss Morgan Elizabeth Walter, Counselor Medicare: Not Enrolled in Medicare Practice Location: 73 E Merrimack St, Lowell, MA 01852 Phone: 978-221-6923 | |
Mr. John Matthew Mulkern, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 45 Merrimack St, Suite 200, Lowell, MA 01852 Phone: 978-459-2306 Fax: 978-453-9394 | |
Kathy Jean Bergeron, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 35 Market St, Bridgewell 2nd Floor, Lowell, MA 01852 Phone: 978-459-0389 Fax: 978-459-7642 | |
Mrs. Alejandra Obando Macdonnell, RN Counselor Medicare: Not Enrolled in Medicare Practice Location: 148 Warren St, Lowell, MA 01852 Phone: 781-608-3370 | |
Melissa Mignolia Cabrera, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 77 E Merrimack St, Lowell, MA 01852 Phone: 978-349-4205 Fax: 978-221-6924 | |
Mr. Daniel Allen Sullivan Jr., M.ED. Counselor Medicare: Medicare Enrolled Practice Location: 161 Jackson St, Lowell, MA 01852 Phone: 978-937-9700 |