Mr Michael Graham Sr, LCSW | |
796 Highland Avenue, Waterbury, CT 06708-4710 | |
(203) 757-0151 | |
(203) 757-0153 |
Full Name | Mr Michael Graham Sr |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 796 Highland Avenue, 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 |
---|---|---|---|
1861632507 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 006958 (Connecticut) | Primary |
Entity Name | The Charlotte Hungerford Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629075734 PECOS PAC ID: 4486557501 Enrollment ID: O20040128000183 |
Entity Name | The Awareness Center Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265736276 PECOS PAC ID: 8921284738 Enrollment ID: O20110512000038 |
Mailing Address | Practice Location Address |
---|---|
Mr Michael Graham Sr, LCSW 796 Highland Ave, Second Floor, Waterbury, CT 06708-4710 Ph: (203) 757-0151 | Mr Michael Graham Sr, LCSW 796 Highland Avenue, Waterbury, CT 06708-4710 Ph: (203) 757-0151 |
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 |