Jacqueline Kotoriy
Jacqueline Kotoriy is a Mental Health Counselor in Chelsea, Massachusetts. Qualified in 2023, 3 years ago. Practices with Sb Transitional Sub LLC, a 72-clinician group and accepts Medicare assignment.
- Years since qualifying
- 3
- In the registry since
- 2023
Practice location Address checks out
70 Everett Ave Ste 515Chelsea, MA 02150-2363
Phone: (617) 466-6650
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1699464537 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 5, 2023 |
| Last updated in NPPES | May 5, 2023 |
| Certification date | April 27, 2023 |
| Mailing address | 70 Everett Ave Ste 515, Chelsea, MA 02150-2363 |
Medicare enrollment
| Medicare specialty | MENTAL HEALTH COUNSELOR |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | Sb Transitional Sub Llc — 72 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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Mr. Randy William Kemp
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Grace Sayomi Koah
301 Broadway, Chelsea, MA 02150-2807 · (617) 912-7914
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Daphne Lee
70 Everett Ave Ste 515, Chelsea, MA 02150-2363 · (508) 521-2200
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Courtney Liferidge
301 Broadway, Chelsea, MA 02150-2807 · (617) 912-7914
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Margaret Louise Locke
70 Everett Ave Ste 515, Chelsea, MA 02150-2363 · (617) 466-6650
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Miss. Dana Elizabeth Longobardi
301 Broadway, Chelsea, MA 02150-2807 · (617) 912-7912