| Donna Elizabeth Medina, LADC | |
|
30 W Main St, Niantic, CT 06357-2340 | |
| (860) 691-0873 | |
| Not Available |
| Full Name | Donna Elizabeth Medina |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 30 W Main St, Niantic, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275007353 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 001224 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Donna Elizabeth Medina, LADC 30 W Main St, Niantic, CT 06357-2340 Ph: (860) 691-0873 | Donna Elizabeth Medina, LADC 30 W Main St, Niantic, CT 06357-2340 Ph: (860) 691-0873 |
Julie Alyce Yale, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 W Main St Ste 2-9, Niantic, CT 06357 Phone: 860-304-6073 | |
Mrs. Kathleen D Ross, MA LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 W Main St Ste 2-9, Niantic, CT 06357 Phone: 860-378-4996 | |
Alexandra Gozzola, Counselor Medicare: Medicare Enrolled Practice Location: 8 W Main St, Niantic, CT 06357 Phone: 860-451-9364 | |
Ms. Carrie Malarkey, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 W Main St, Niantic, CT 06357 Phone: 860-850-0477 | |
Irinel Fishlock, Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 W Main St Ste 3-14, Niantic, CT 06357 Phone: 860-451-9364 | |
Renee Elizabeth Agnes Triller, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 W Main St Ste 3-15, Niantic, CT 06357 Phone: 860-316-4428 |