Georgia G Hynes, CCDP,CCS,CAC,NCACII | |
8 Titus Rd, Box 560, Washington Depot, CT 06794-1517 | |
(860) 868-0857 | |
(860) 868-1288 |
Full Name | Georgia G Hynes |
---|---|
Gender | Female |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 8 Titus Rd, Washington Depot, Connecticut |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134269210 | NPI | - | NPPES |
NCACII -004029 | Other | VA | NAADAC |
000322 | Other | CT | STATE OF CT DEPARTMENT OF PUBLIC HEALTH |
CCS-1410 | Other | CT | CONNECTICUT CERTIFICATION BOARD |
CAC-4490 | Other | NY | NEW YORK STATE OASAS |
CAC-1410 | Other | CT | CONNECTICUT CERTIFICATION BOARD |
CCDP-1410 | Other | CT | CONNECTICUT CERTIFICATION BOARD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 000322 (Connecticut) | Primary |
101YM0800X | Counselor - Mental Health | 000322 (Connecticut) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Georgia G Hynes, CCDP,CCS,CAC,NCACII 8 Titus Rd, P.o. Box 560, Washington Depot, CT 06794-1517 Ph: (860) 868-0857 | Georgia G Hynes, CCDP,CCS,CAC,NCACII 8 Titus Rd, Box 560, Washington Depot, CT 06794-1517 Ph: (860) 868-0857 |
F. Brian Mucha, CAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 Titus Rd, Washington Depot, CT 06794 Phone: 860-868-0857 |