Ashley Favreau, LPC | |
960 S Main St, Plantsville, CT 06479-1645 | |
(203) 610-4907 | |
Not Available |
Full Name | Ashley Favreau |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 960 S Main St, Plantsville, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1992248306 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 3022 (Connecticut) | Primary |
Entity Name | Apple Valley Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568843456 PECOS PAC ID: 5991122756 Enrollment ID: O20200826000298 |
Mailing Address | Practice Location Address |
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Ashley Favreau, LPC 960 S Main St, Plantsville, CT 06479-1645 Ph: () - | Ashley Favreau, LPC 960 S Main St, Plantsville, CT 06479-1645 Ph: (203) 610-4907 |
Mrs. Rosanna Mennone Ventura, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 791 S Main St, Plantsville, CT 06479 Phone: 860-378-8090 | |
Alexandria Williams, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1006 S Main St Ste 4, Plantsville, CT 06479 Phone: 860-385-1472 | |
Mrs. Denise Ann Grodzicki, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 966 S Main St, Plantsville, CT 06479 Phone: 860-863-1001 | |
Mrs. Carolyn May Gorman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 341 West St Unit B, Plantsville, CT 06479 Phone: 203-819-0789 | |
Chelsea Barrett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 966 S Main St, Plantsville, CT 06479 Phone: 860-736-5579 | |
Sarah Alysia Khan, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 966 S Main St, Plantsville, CT 06479 Phone: 860-863-1001 | |
Eric Frenette, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 960 S Main St, Plantsville, CT 06479 Phone: 860-378-8090 |