Russell Patrick Allard, MA | |
19409 Plantation Rd Unit 4, Rehoboth Beach, DE 19971-4493 | |
(302) 878-1262 | |
Not Available |
Full Name | Russell Patrick Allard |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 19409 Plantation Rd Unit 4, Rehoboth Beach, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1134555477 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YA0400X | Counselor - Addiction (substance Use Disorder) | CD-0010167 (Delaware) | Secondary |
101YP2500X | Counselor - Professional | PC-0011858 (Delaware) | Primary |
Entity Name | Family Care Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1790141984 PECOS PAC ID: 5991064420 Enrollment ID: O20180109000960 |
Mailing Address | Practice Location Address |
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Russell Patrick Allard, MA 1300 N 17th Ave, Greeley, CO 80631-9584 Ph: (970) 347-2120 | Russell Patrick Allard, MA 19409 Plantation Rd Unit 4, Rehoboth Beach, DE 19971-4493 Ph: (302) 878-1262 |
Kara Ann Sullivan, LPCMH Counselor Medicare: Medicare Enrolled Practice Location: 19409 Plantation Rd # 4, Rehoboth Beach, DE 19971 Phone: 302-224-1400 | |
Mrs. Jamie Lynn Basara, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20576 Coastal Hwy Ste 101, Rehoboth Beach, DE 19971 Phone: 302-227-1320 Fax: 302-227-1327 | |
Larraine Weiner Przemelewski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20576 Coastal Hwy, Rehoboth Beach, DE 19971 Phone: 302-227-1320 | |
Deyadira Carrillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 20576 Coastal Hwy, Rehoboth Beach, DE 19971 Phone: 302-227-1320 Fax: 302-227-1327 | |
Ms. Carolyn Jeannette Gover, M.A., N.C.C., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 125 Landing Dr, Rehoboth Beach, DE 19971 Phone: 302-226-3661 Fax: 302-226-9070 | |
Dana J Duquette, MS ED., CAADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 20576 Coastal Hwy Ste 101, Rehoboth Beach, DE 19971 Phone: 302-227-1320 Fax: 302-227-1327 |