Mr Andrew Keodara Phomthavong, MSW in Lowell, MA - Counselor

Mr Andrew Keodara Phomthavong, MSW is a Counselor - Professional based in Lowell, Massachusetts. Mr Andrew Keodara Phomthavong is licensed to practice in * (Not Available) (license number ) and his current practice location is 298 Walker Street, Lowell, Massachusetts. He can be reached at his office (for appointments etc.) via phone at (619) 743-9052.

NPI number for Mr Andrew Keodara Phomthavong is 1003110990 and his current mailing address is 298 Walker St, Lowell, Massachusetts. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1003110990.

Contact Information

	Mr Andrew Keodara Phomthavong, MSW
	298 Walker Street, Lowell, MA 01851
	(619) 743-9052
	Not Available

Healthcare Provider's Profile

Full Name	Mr Andrew Keodara Phomthavong
Gender	Male
Speciality	Counselor - Professional
Location	298 Walker Street, Lowell, Massachusetts
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1003110990
Provider Enumeration Date: 01/06/2011
Last Update Date: 01/06/2011

Medical Identifiers

Medical identifiers for Mr Andrew Keodara Phomthavong such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003110990	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(* (Not Available))	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Andrew Keodara Phomthavong is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Andrew Keodara Phomthavong, MSW 298 Walker St, Lowell, MA 01851-1848 Ph: (619) 743-9052	Mr Andrew Keodara Phomthavong, MSW 298 Walker Street, Lowell, MA 01851 Ph: (619) 743-9052

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Counselor in Lowell, MA

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: Not Enrolled in Medicare Practice Location: 161 Jackson St, Lowell, MA 01852 Phone: 978-937-9700

Mr Andrew Keodara Phomthavong, MSW - Counselor in Lowell, MA