Mrs Julie S Dudek, LPC | |
553 Portland Cobalt Rd, Portland, CT 06480-1968 | |
(860) 342-0760 | |
(860) 342-4226 |
Full Name | Mrs Julie S Dudek |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 553 Portland Cobalt Rd, Portland, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528014818 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 000417 (Connecticut) | Primary |
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220512000081 |
Mailing Address | Practice Location Address |
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Mrs Julie S Dudek, LPC 553 Portland Cobalt Rd, Portland, CT 06480-1968 Ph: (860) 342-0760 | Mrs Julie S Dudek, LPC 553 Portland Cobalt Rd, Portland, CT 06480-1968 Ph: (860) 342-0760 |
Mrs. Katelyn Mary Warner, LPC Counselor Medicare: Medicare Enrolled Practice Location: 325 Main St, Portland, CT 06480 Phone: 860-342-3252 | |
Mr. Pete Ralston, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Marlborough St, Portland, CT 06480 Phone: 860-342-6371 | |
Michele Binezewski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 553 Portland Cobalt Rd, Portland, CT 06480 Phone: 860-342-0760 Fax: 860-342-4226 | |
Mrs. Donna S. Grisham, LADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 553 Portland Cobalt Rd, Portland, CT 06480 Phone: 860-342-0760 Fax: 860-342-4226 | |
Thelma Marie Epps, LADC, CAC, ICADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Main St, Portland, CT 06480 Phone: 860-342-3252 Fax: 860-342-4556 | |
Ms. Michelle M Pellin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 32 Buttonhook Dr, Portland, CT 06480 Phone: 860-805-7819 |