Susan Mason, LPC LADC | |
10 N Main St, Bristol, CT 06010-8122 | |
(860) 584-6555 | |
Not Available |
Full Name | Susan Mason |
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Gender | Female |
Speciality | Counselor |
Location | 10 N Main St, 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 |
---|---|---|---|
1548597172 | NPI | - | NPPES |
1548597172 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Primary |
Entity Name | Wheeler Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1396750840 PECOS PAC ID: 0345147153 Enrollment ID: O20031218000218 |
Mailing Address | Practice Location Address |
---|---|
Susan Mason, LPC LADC 91 Northwest Dr, Plainville, CT 06062-1534 Ph: () - | Susan Mason, LPC LADC 10 N Main St, Bristol, CT 06010-8122 Ph: (860) 584-6555 |
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 | |
Lisa Marie Nelson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 839 Farmington Ave, Bristol, CT 06010 Phone: 860-582-8167 |