Oracle Counseling & Wellness | |
99 Cherry St Ste D Milford CT 06460-3455 | |
(203) 859-1026 | |
(203) 283-7857 |
Full Name | Oracle Counseling & Wellness |
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Speciality | Social Worker |
Location | 99 Cherry St Ste D, Milford, Connecticut |
Authorized Official Name and Position | Christa L. Jacaruso (OWNER/ LICENSED CLINICAL SOCIAL WOR) |
Authorized Official Contact | 2038591026 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Oracle Counseling & Wellness 99 Cherry St Ste D Milford CT 06460-3455 Ph: (203) 859-1026 | Oracle Counseling & Wellness 99 Cherry St Ste D Milford CT 06460-3455 Ph: (203) 859-1026 |
NPI Number | 1184962250 |
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Provider Enumeration Date | 01/24/2013 |
Last Update Date | 01/24/2013 |
Medicare PECOS PAC ID | 4981089588 |
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Medicare Enrollment ID | O20220919000966 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184962250 | NPI | - | NPPES |
1851319412 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 005929 (Connecticut) | Primary |
Provider Name | Christa L Jacaruso |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1851319412 PECOS PAC ID: 8820034762 Enrollment ID: I20050630001057 |
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