| Ms Diane M Wilson, MED | |
|
205 School St. #202, Gardner, MA 01440 | |
| (978) 630-4918 | |
| (978) 630-3049 |
| Full Name | Ms Diane M Wilson |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 7 Years |
| Location | 205 School St. #202, Gardner, Massachusetts |
| 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 |
|---|---|---|---|
| 1184141632 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Massachusetts) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Youth Opportunities Upheld Inc | 9638190374 | 16 |
| Entity Name | Youth Opportunities Upheld Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245317205 PECOS PAC ID: 9638190374 Enrollment ID: O20051209000469 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Diane M Wilson, MED 205 School St Ste 202, Gardner, MA 01440-2781 Ph: (978) 630-4918 | Ms Diane M Wilson, MED 205 School St. #202, Gardner, MA 01440 Ph: (978) 630-4918 |
Josephine Marshall, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 School St Ste 301, Gardner, MA 01440 Phone: 978-632-9400 | |
John Cardinal, Counselor Medicare: Not Enrolled in Medicare Practice Location: 171 Graham St, Gardner, MA 01440 Phone: 978-632-4574 | |
Ella May Alston, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 School St, Gardner, MA 01440 Phone: 978-488-8888 | |
Ms. Kristen Lee Lunden, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 486 Chestnut St, Gardner, MA 01440 Phone: 978-502-9720 | |
Daniela Andrea Londono, Counselor Medicare: Not Enrolled in Medicare Practice Location: 76 Ash St Bsmt, Gardner, MA 01440 Phone: 321-301-9154 | |
Mrs. Karyn Madden, B.S.HUMAN DEVELOPMEN Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Lake St, Gardner, MA 01440 Phone: 978-632-4432 Fax: 978-632-6022 | |
Ms. Kasandra Ann Harper, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Lake St Ste 180, Gardner, MA 01440 Phone: 774-293-2425 |