| Ms Jillian Marie Deruscio Belleard, LCPC | |
|
460 Main St, Springvale, ME 04083-1874 | |
| (518) 368-5465 | |
| Not Available |
| Full Name | Ms Jillian Marie Deruscio Belleard |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 460 Main St, Springvale, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912350018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CC5044 (Maine) | Primary |
| Entity Name | Able Oak Mental Health, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083480487 PECOS PAC ID: 3476997321 Enrollment ID: O20240219002319 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Jillian Marie Deruscio Belleard, LCPC 460 Main St Ste 2, Springvale, ME 04083-1874 Ph: (207) 502-5896 | Ms Jillian Marie Deruscio Belleard, LCPC 460 Main St, Springvale, ME 04083-1874 Ph: (518) 368-5465 |
Terah Rebekah Watson, LCSW, LADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 474 Main St, Springvale, ME 04083 Phone: 844-292-0111 Fax: 207-490-5263 | |
Nicholas M. Angers, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 474 Main St, Springvale, ME 04083 Phone: 207-324-1500 Fax: 207-490-5263 | |
Richard Scribner Kinsman, LCSW Counselor Medicare: Medicare Enrolled Practice Location: 474 Main St, Springvale, ME 04083 Phone: 207-324-1500 Fax: 207-490-5263 | |
Carol Lombard, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 474 Main St, Springvale, ME 04083 Phone: 207-324-1500 Fax: 207-282-7509 | |
David P Appell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 474 Main St, Springvale, ME 04083 Phone: 207-490-8301 Fax: 207-490-5263 | |
Tamara E. Kiernan, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 474 Main St, Springvale, ME 04083 Phone: 207-324-1500 Fax: 207-490-5263 | |
Lorraine Kimball Swenson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 474 Main St, Springvale, ME 04083 Phone: 207-324-1500 Fax: 207-490-5263 |