Mr Evan Hunter Jr, LADC | |
53 Hawthorne Ave, Waterbury, CT 06708-4614 | |
(203) 346-8277 | |
Not Available |
Full Name | Mr Evan Hunter Jr |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 53 Hawthorne Ave, Waterbury, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366051468 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1382 (Connecticut) | Secondary |
101YP2500X | Counselor - Professional | 006121 (Connecticut) | Primary |
Entity Name | Greenwoods Counseling Referrals Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063846277 PECOS PAC ID: 1052630308 Enrollment ID: O20150507001929 |
Mailing Address | Practice Location Address |
---|---|
Mr Evan Hunter Jr, LADC 53 Hawthorne Ave, Waterbury, CT 06708-4614 Ph: (203) 346-8277 | Mr Evan Hunter Jr, LADC 53 Hawthorne Ave, Waterbury, CT 06708-4614 Ph: (203) 346-8277 |
Myco Foy, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006 | |
Shana A Santana, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006 | |
Darian Andre Coleman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 276 Highland Ave Ste 2n, Waterbury, CT 06708 Phone: 203-518-8218 | |
Mrs. Elizabeth Joan Prete, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 965 S Main St, Suite 1, Waterbury, CT 06706 Phone: 203-596-9724 Fax: 203-759-0566 | |
Mardea Zor, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006 | |
Kemar Bailey, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-575-0466 Fax: 203-575-1817 | |
Susan Broadus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 |