Mrs Amanda Rau Mckenna, | |
5 Seabreeze Rd, Old Saybrook, CT 06475-2723 | |
(860) 209-6165 | |
Not Available |
Full Name | Mrs Amanda Rau Mckenna |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 5 Seabreeze Rd, Old Saybrook, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124756440 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 005571 (Connecticut) | Primary |
Entity Name | Stokes Counseling Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134541469 PECOS PAC ID: 9638504202 Enrollment ID: O20200109001018 |
Mailing Address | Practice Location Address |
---|---|
Mrs Amanda Rau Mckenna, 5 Seabreeze Rd, Old Saybrook, CT 06475-2723 Ph: (860) 209-6165 | Mrs Amanda Rau Mckenna, 5 Seabreeze Rd, Old Saybrook, CT 06475-2723 Ph: (860) 209-6165 |
Leah Av Russack-baker, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 Elm St, Old Saybrook, CT 06475 Phone: 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 | |
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 |