Dr Warren Corson Iii, PHD | |
53 Muir Ave, Bristol, CT 06010-7215 | |
(860) 582-7904 | |
(860) 582-4350 |
Full Name | Dr Warren Corson Iii |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 53 Muir Ave, Bristol, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205097243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 001465 (Connecticut) | Primary |
Entity Name | Community Counseling Center Of Central Ct Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760541510 PECOS PAC ID: 8820436892 Enrollment ID: O20240410000515 |
Mailing Address | Practice Location Address |
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Dr Warren Corson Iii, PHD 53 Muir Ave, Bristol, CT 06010-7215 Ph: (860) 582-7904 | Dr Warren Corson Iii, PHD 53 Muir Ave, Bristol, CT 06010-7215 Ph: (860) 582-7904 |
Audrey Krawiec, MS Counselor Medicare: Medicare Enrolled Practice Location: 1098 Farmington Ave, Bristol, CT 06010 Phone: 860-589-6433 Fax: 860-589-6442 | |
Ms. Tammy Parker, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Edward St, Bristol, CT 06010 Phone: 860-585-8200 Fax: 860-585-8200 | |
Mr. Warren Corson Iv, Counselor Medicare: Not Enrolled in Medicare Practice Location: 489 Wolcott St, 39, Bristol, CT 06010 Phone: 860-543-2384 | |
Jennifer Quagliano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 N Main St, Bristol, CT 06010 Phone: 888-793-3500 | |
Emily Marie Diaz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 N Main St Ste 106, Bristol, CT 06010 Phone: 888-793-3500 | |
Emily C Gilbert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 N Main St, Bristol, CT 06010 Phone: 860-793-3500 | |
Lisa Marie Nelson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 839 Farmington Ave, Bristol, CT 06010 Phone: 860-582-8167 |