Brittany Jacobs, | |
91 Northwest Dr, Plainville, CT 06062-1534 | |
(860) 793-5300 | |
(860) 793-3369 |
Full Name | Brittany Jacobs |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 91 Northwest Dr, Plainville, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639574049 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
Entity Name | Step Up Care Pc Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154884740 PECOS PAC ID: 5496088346 Enrollment ID: O20190607000156 |
Entity Name | Sharing Solutions Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1730882986 PECOS PAC ID: 5799142022 Enrollment ID: O20230601001345 |
Mailing Address | Practice Location Address |
---|---|
Brittany Jacobs, 91 Northwest Dr, Plainville, CT 06062-1534 Ph: (860) 793-5300 | Brittany Jacobs, 91 Northwest Dr, Plainville, CT 06062-1534 Ph: (860) 793-5300 |
Jonathan Codraro, M.S Counselor Medicare: Medicare Enrolled Practice Location: 74 East St, Plainville, CT 06062 Phone: 860-466-9646 | |
Mr. Lewis Alan Slotnick, M.S. LADC ICADC SAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 74 East St, Plainville, CT 06062 Phone: 800-522-3271 | |
Ciyauah Lashawn Daniels, Counselor Medicare: Not Enrolled in Medicare Practice Location: 74 East St, Plainville, CT 06062 Phone: 860-793-4200 | |
Julia Zarovny, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-793-3500 | |
Mr. Viktor A Gonzalez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-793-3500 | |
Stacey Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-223-8885 | |
Marquis Carlos Marquez, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-793-3500 |