Daniel Gallant, | |
433 Valley St, Willimantic, CT 06226 | |
(860) 456-7200 | |
(860) 456-1683 |
Full Name | Daniel Gallant |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 433 Valley St, Willimantic, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649712472 | NPI | - | NPPES |
Entity Name | Regeneration Therapy And Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033574355 PECOS PAC ID: 7719363886 Enrollment ID: O20220928000719 |
Mailing Address | Practice Location Address |
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Daniel Gallant, 2 Waterside Xing Ste 401, Windsor, CT 06095-1587 Ph: (860) 697-3351 | Daniel Gallant, 433 Valley St, Willimantic, CT 06226 Ph: (860) 456-7200 |
William Bergmann, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1491 Main St, Willimantic, CT 06226 Phone: 860-456-3215 | |
Ms. Jessica M Diaz, MASTER OF ARTS Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-2261 | |
Ning Cruzado, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 Main St, Willimantic, CT 06226 Phone: 860-731-5522 Fax: 860-731-5536 | |
Amanda Church, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 Main St, Willimantic, CT 06226 Phone: 860-731-5522 Fax: 860-731-5536 | |
Patricia Murphy, Counselor Medicare: Not Enrolled in Medicare Practice Location: 433 Valley St, Willimantic, CT 06226 Phone: 860-456-7200 Fax: 860-731-5536 | |
Taylor Snietka, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 Main St, Willimantic, CT 06226 Phone: 860-731-5522 Fax: 860-731-5536 | |
Elizabeth Peterson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1310 Main St, Willimantic, CT 06226 Phone: 607-315-5228 Fax: 860-731-5536 |