Colette C Wilson, | |
55 Main St, Norwich, CT 06360-5760 | |
(860) 731-5522 | |
(860) 731-5536 |
Full Name | Colette C Wilson |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 55 Main St, Norwich, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437928975 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
Entity Name | Community Health Resources, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215979810 PECOS PAC ID: 5597652149 Enrollment ID: O20040301000155 |
Mailing Address | Practice Location Address |
---|---|
Colette C Wilson, 2 Waterside Xing Ste 401, Windsor, CT 06095-1588 Ph: (860) 697-3351 | Colette C Wilson, 55 Main St, Norwich, CT 06360-5760 Ph: (860) 731-5522 |
Megan Renee Eddy, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 119 Lafayette St, Norwich, CT 06360 Phone: 860-889-0097 Fax: 860-889-3184 | |
Charlotte T Farmer, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 18 Oneco St Ste 3, Norwich, CT 06360 Phone: 860-861-5448 | |
Jill E Roediger, L.A.D.C., C.A.D.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 110 Main St, Norwich, CT 06360 Phone: 860-892-9002 Fax: 860-892-9009 | |
Paula Rodriguez-pranaitis, Counselor Medicare: Medicare Enrolled Practice Location: 47 Town St, Norwich, CT 06360 Phone: 413-846-0445 | |
Randolph Brooks, PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Connecticut Ave, Norwich, CT 06360 Phone: 860-889-7274 | |
Maridalia M Hernandez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Main St, Norwich, CT 06360 Phone: 860-885-6054 | |
Nicole Marie Krys, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 69 Roosevelt Ave, Norwich, CT 06360 Phone: 860-912-1147 |