Mrs Leslie M Hauge, LPC | |
161 Aldbourne Dr, Bristol, CT 06010-2305 | |
(860) 989-9523 | |
Not Available |
Full Name | Mrs Leslie M Hauge |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 161 Aldbourne Dr, Bristol, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598462772 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 46.006087 (Connecticut) | Primary |
Entity Name | Apple Valley Behavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568843456 PECOS PAC ID: 5991122756 Enrollment ID: O20200826000298 |
Mailing Address | Practice Location Address |
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Mrs Leslie M Hauge, LPC 161 Aldbourne Dr, Bristol, CT 06010-2305 Ph: (860) 989-9523 | Mrs Leslie M Hauge, LPC 161 Aldbourne Dr, Bristol, CT 06010-2305 Ph: (860) 989-9523 |
Audrey Krawiec, MS Counselor Medicare: Medicare Enrolled Practice Location: 1098 Farmington Ave, Bristol, CT 06010 Phone: 860-589-6433 Fax: 860-589-6442 | |
Ms. Tammy Parker, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Edward St, Bristol, CT 06010 Phone: 860-585-8200 Fax: 860-585-8200 | |
Mr. Warren Corson Iv, Counselor Medicare: Not Enrolled in Medicare Practice Location: 489 Wolcott St, 39, Bristol, CT 06010 Phone: 860-543-2384 | |
Jennifer Quagliano, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 N Main St, Bristol, CT 06010 Phone: 888-793-3500 | |
Emily Marie Diaz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 N Main St Ste 106, Bristol, CT 06010 Phone: 888-793-3500 | |
Emily C Gilbert, Counselor Medicare: Not Enrolled in Medicare Practice Location: 225 N Main St, Bristol, CT 06010 Phone: 860-793-3500 | |
Ms. Danielle Rita Colopy, LPC, LADC, ATR Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Hope St, Bristol, CT 06010 Phone: 888-793-3500 |