Jaime Morales, LADC | |
1 Dogwood Dr, Portland, CT 06480-1503 | |
(203) 246-0221 | |
Not Available |
Full Name | Jaime Morales |
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Gender | Male |
Speciality | Counselor - Addiction (substance Use Disorder) |
Location | 1 Dogwood Dr, Portland, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861984122 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 001286 (Connecticut) | Primary |
Entity Name | Rushford Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275541005 PECOS PAC ID: 1153227756 Enrollment ID: O20040223000535 |
Mailing Address | Practice Location Address |
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Jaime Morales, LADC 1 Dogwood Dr, Portland, CT 06480-1503 Ph: (203) 246-0221 | Jaime Morales, LADC 1 Dogwood Dr, Portland, CT 06480-1503 Ph: (203) 246-0221 |
Mr. Pete Ralston, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Marlborough St, Portland, CT 06480 Phone: 860-342-6371 | |
Michele Binezewski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 553 Portland Cobalt Rd, Portland, CT 06480 Phone: 860-342-0760 Fax: 860-342-4226 | |
Mrs. Donna S. Grisham, LADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 553 Portland Cobalt Rd, Portland, CT 06480 Phone: 860-342-0760 Fax: 860-342-4226 | |
Mrs. Julie S. Dudek, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 553 Portland Cobalt Rd, Portland, CT 06480 Phone: 860-342-0760 Fax: 860-342-4226 | |
Thelma Marie Epps, LADC, CAC, ICADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Main St, Portland, CT 06480 Phone: 860-342-3252 Fax: 860-342-4556 | |
Ms. Michelle M Pellin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 32 Buttonhook Dr, Portland, CT 06480 Phone: 860-805-7819 | |
Mr. Stephen P Paschall, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 Marlborough Turnpike, Path, Portland, CT 06480 Phone: 860-714-2750 Fax: 860-714-8591 |