| Leah Av Russack-baker, LADC | |
|
123 Elm St, Old Saybrook, CT 06475 | |
| (860) 395-1264 | |
| Not Available |
| Full Name | Leah Av Russack-baker |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 123 Elm St, Old Saybrook, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073822789 | NPI | - | NPPES |
| 1730336439 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 03-973340 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Leah Av Russack-baker, LADC 123 Elm St, Old Saybrook, CT 06475-4108 Ph: (860) 395-1264 | Leah Av Russack-baker, LADC 123 Elm St, Old Saybrook, CT 06475 Ph: (860) 395-1264 |
Mary-katherine Louetta Peralez, LPC, LMHC, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 519 Boston Post Rd, Old Saybrook, CT 06475 Phone: 860-471-7896 | |
Michelle Mclain, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 Sunset Ave, Old Saybrook, CT 06475 Phone: 860-876-0881 | |
Mrs. Amanda Rau Mckenna, Counselor Medicare: Medicare Enrolled Practice Location: 5 Seabreeze Rd, Old Saybrook, CT 06475 Phone: 860-209-6165 | |
Jeffrey Alfonso Guance, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 130 Elm St, Old Saybrook, CT 06475 Phone: 860-388-9656 | |
Anthony Augustine, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 841 Middlesex Tpke, Old Saybrook, CT 06475 Phone: 860-395-0111 Fax: 860-395-1264 | |
Karyn L Hester, Counselor Medicare: Not Enrolled in Medicare Practice Location: 107 Old Boston Post Rd, Old Saybrook, CT 06475 Phone: 860-322-2082 |