Rebecca L Russo, BA | |
30 Peck Rd, Torrington, CT 06790-6123 | |
(203) 558-5061 | |
(203) 558-5061 |
Full Name | Rebecca L Russo |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 30 Peck Rd, Torrington, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831455146 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Ct Kids Matter Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710452255 PECOS PAC ID: 5698143923 Enrollment ID: O20240222002712 |
Mailing Address | Practice Location Address |
---|---|
Rebecca L Russo, BA 141 E Main St, Waterbury, CT 06702-2310 Ph: (203) 574-9000 | Rebecca L Russo, BA 30 Peck Rd, Torrington, CT 06790-6123 Ph: (203) 558-5061 |
Jaymie Naclerio, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Peck Rd, Torrington, CT 06790 Phone: 860-294-9060 | |
Paul Ryan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 58 High St, Torrington, CT 06790 Phone: 860-496-2100 Fax: 860-496-2111 | |
Michael Wolftrand, Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Litchfield St, Torrington, CT 06790 Phone: 860-489-3391 | |
Ebony N Wilson, LPC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 65 Highfield Dr, Torrington, CT 06790 Phone: 860-626-5002 | |
Mrs. Gracie Elizabeth Driscoll, CHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 191 Northridge Ave, Torrington, CT 06790 Phone: 860-480-1363 | |
Jennie Irene Santa Maria, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Litchfield St, Torrington, CT 06790 Phone: 860-489-3391 | |
Mara Pomerantz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Litchfield St, Torrington, CT 06790 Phone: 860-489-3391 |