| Nevadomski Counseling Llc | |
|
67 Shane Dr Southbury CT 06488-2678 | |
| (203) 632-9818 | |
| (203) 204-8480 |
| Full Name | Nevadomski Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 67 Shane Dr, Southbury, Connecticut |
| Authorized Official Name and Position | Paul Nevadomski (SECRETARY/PRACTICE MANAGER) |
| Authorized Official Contact | 5162043196 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nevadomski Counseling Llc 67 Shane Dr Southbury CT 06488-2678 Ph: (516) 204-3196 | Nevadomski Counseling Llc 67 Shane Dr Southbury CT 06488-2678 Ph: (203) 632-9818 |
| NPI Number | 1700668167 |
|---|---|
| Provider Enumeration Date | 10/19/2023 |
| Last Update Date | 01/31/2024 |
| Certification Date | 01/31/2024 |
| Medicare PECOS PAC ID | 0042657611 |
|---|---|
| Medicare Enrollment ID | O20240320001132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700668167 | NPI | - | NPPES |
| Provider Name | Jennifer Marie Nevadomski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558012617 PECOS PAC ID: 7618314147 Enrollment ID: I20240320001696 |
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