Angelique Ross, | |
18 Cornell Cir, East Hartford, CT 06108-1422 | |
(860) 778-8906 | |
Not Available |
Full Name | Angelique Ross |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 18 Cornell Cir, East Hartford, Connecticut |
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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1740941103 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512000081 |
Mailing Address | Practice Location Address |
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Angelique Ross, 317 N Main St, Manchester, CT 06042-2007 Ph: () - | Angelique Ross, 18 Cornell Cir, East Hartford, CT 06108-1422 Ph: (860) 778-8906 |
William Charles Seals, LPC Counselor Medicare: Medicare Enrolled Practice Location: 52 Fowler Ln, East Hartford, CT 06118 Phone: 860-841-7189 | |
Bernisha La'salle Williams, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 61 Alps Dr, East Hartford, CT 06108 Phone: 860-569-5900 | |
Shawn Dougherty, MS, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 490 Silver Ln, East Hartford, CT 06118 Phone: 860-593-3902 | |
Jordan Giambattista, Counselor Medicare: Not Enrolled in Medicare Practice Location: 474r School St, East Hartford, CT 06108 Phone: 860-730-8811 Fax: 860-731-5536 | |
Lynnell Brown, LADC Counselor Medicare: Medicare Enrolled Practice Location: 50 Hillside St Apt A3, East Hartford, CT 06108 Phone: 860-997-0851 | |
Glenroy Patrick Patterson, BCBA Counselor Medicare: Not Enrolled in Medicare Practice Location: 72 Birchwood Rd, East Hartford, CT 06118 Phone: 860-206-9884 Fax: 860-812-2399 | |
Tangie R Mcdougald, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Burnside Ave, East Hartford, CT 06108 Phone: 860-282-8882 Fax: 860-282-8890 |