| Ashley Favreau, LPC | |
|
960 S Main St, Plantsville, CT 06479-1645 | |
| (203) 610-4907 | |
| Not Available |
| Full Name | Ashley Favreau |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 960 S Main St, Plantsville, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992248306 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 3022 (Connecticut) | Primary |
| Entity Name | Apple Valley Behavioral Health Llc |
|---|---|
| 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 |
|---|---|
| Ashley Favreau, LPC 960 S Main St, Plantsville, CT 06479-1645 Ph: () - | Ashley Favreau, LPC 960 S Main St, Plantsville, CT 06479-1645 Ph: (203) 610-4907 |
Mrs. Rosanna Mennone Ventura, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 791 S Main St, Plantsville, CT 06479 Phone: 860-378-8090 | |
Alexandria Williams, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1006 S Main St Ste 4, Plantsville, CT 06479 Phone: 860-385-1472 | |
Mrs. Denise Ann Grodzicki, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 966 S Main St, Plantsville, CT 06479 Phone: 860-863-1001 | |
Mrs. Carolyn May Gorman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 341 West St Unit B, Plantsville, CT 06479 Phone: 203-819-0789 | |
Chelsea Barrett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 966 S Main St, Plantsville, CT 06479 Phone: 860-736-5579 | |
Sarah Alysia Khan, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 966 S Main St, Plantsville, CT 06479 Phone: 860-863-1001 | |
Eric Frenette, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 960 S Main St, Plantsville, CT 06479 Phone: 860-378-8090 |