Jodi-kae C Joseph, | |
74 East St, Plainville, CT 06062-2367 | |
(860) 793-3500 | |
(860) 793-3369 |
Full Name | Jodi-kae C Joseph |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 74 East St, Plainville, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851999577 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 4378 (Connecticut) | Primary |
Entity Name | Optum Behavioral Care Of Connecticut Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1164203238 PECOS PAC ID: 9436502879 Enrollment ID: O20240201001054 |
Mailing Address | Practice Location Address |
---|---|
Jodi-kae C Joseph, 74 East St, Plainville, CT 06062-2367 Ph: (860) 793-3500 | Jodi-kae C Joseph, 74 East St, Plainville, CT 06062-2367 Ph: (860) 793-3500 |
Jonathan Codraro, M.S Counselor Medicare: Medicare Enrolled Practice Location: 74 East St, Plainville, CT 06062 Phone: 860-466-9646 | |
Mr. Lewis Alan Slotnick, M.S. LADC ICADC SAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 74 East St, Plainville, CT 06062 Phone: 800-522-3271 | |
Ciyauah Lashawn Daniels, Counselor Medicare: Not Enrolled in Medicare Practice Location: 74 East St, Plainville, CT 06062 Phone: 860-793-4200 | |
Julia Zarovny, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-793-3500 | |
Mr. Viktor A Gonzalez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-793-3500 | |
Stacey Brown, Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-223-8885 | |
Marquis Carlos Marquez, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 91 Northwest Dr, Plainville, CT 06062 Phone: 860-793-3500 |