| Doug Gruber, LADC | |
|
466 W Main St, Waterbury, CT 06702-1123 | |
| (203) 591-8010 | |
| (203) 591-8586 |
| Full Name | Doug Gruber |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 466 W Main St, Waterbury, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992076780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000395 (Connecticut) | Primary |
| 101YM0800X | Counselor - Mental Health | 000395 (Connecticut) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Doug Gruber, LADC 350 Fairfield Ave, Suite 701, Bridgeport, CT 06604-6014 Ph: (203) 336-5225 | Doug Gruber, LADC 466 W Main St, Waterbury, CT 06702-1123 Ph: (203) 591-8010 |
Myco Foy, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006 | |
Shana A Santana, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006 | |
Darian Andre Coleman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 276 Highland Ave Ste 2n, Waterbury, CT 06708 Phone: 203-518-8218 | |
Mrs. Elizabeth Joan Prete, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 965 S Main St, Suite 1, Waterbury, CT 06706 Phone: 203-596-9724 Fax: 203-759-0566 | |
Mardea Zor, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006 | |
Kemar Bailey, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-575-0466 Fax: 203-575-1817 | |
Susan Broadus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 |