Kathleen Bradley, LPC | |
226 E Main St, Griswold, CT 06351-2110 | |
(860) 376-7040 | |
(860) 376-7045 |
Full Name | Kathleen Bradley |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 226 E Main St, Griswold, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1629735402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 5284 (Connecticut) | Secondary |
101YP2500X | Counselor - Professional | 7284 (Connecticut) | Primary |
Entity Name | United Community And Family Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1467482539 PECOS PAC ID: 9032012497 Enrollment ID: O20040202000086 |
Entity Name | Regeneration Therapy And Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033574355 PECOS PAC ID: 7719363886 Enrollment ID: O20220928000719 |
Mailing Address | Practice Location Address |
---|---|
Kathleen Bradley, LPC 226 E Main St, Griswold, CT 06351-2110 Ph: (860) 376-7040 | Kathleen Bradley, LPC 226 E Main St, Griswold, CT 06351-2110 Ph: (860) 376-7040 |
Nicholas Gaughan, LPC Counselor Medicare: Medicare Enrolled Practice Location: 70 Main St, Griswold, CT 06351 Phone: 860-634-0967 | |
Mrs. Karleigh Chase, Counselor Medicare: Not Enrolled in Medicare Practice Location: 70 Main St, Griswold, CT 06351 Phone: 860-303-9760 | |
Brian Carberg, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Nowakowski Rd, Griswold, CT 06351 Phone: 860-376-3031 | |
Kennyshka Kouwenhoven, LPC-A Counselor Medicare: Medicare Enrolled Practice Location: 70 Main St, Griswold, CT 06340 Phone: 860-469-0508 | |
Miss Cara Vaslet, BS, LCDP, LCDC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 167 Bishop Crossing Rd, Griswold, CT 06351 Phone: 860-865-8492 | |
Leslie Anne Stasko, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 70 Main St, Griswold, CT 06351 Phone: 860-303-9760 |