| Dawn Patston, LMFT | |
|
1120 Main St, Bridgeport, CT 06604-4404 | |
| (203) 333-2040 | |
| (203) 333-2152 |
| Full Name | Dawn Patston |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 1120 Main St, Bridgeport, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508137381 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 001280 (Connecticut) | Secondary |
| 101YM0800X | Counselor - Mental Health | 001280 (Connecticut) | Primary |
| Entity Name | Connecticut Renaissance, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700893807 PECOS PAC ID: 0941253728 Enrollment ID: O20050222000611 |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn Patston, LMFT 350 Fairfield Ave, Suite 701, Bridgeport, CT 06604-6014 Ph: (203) 336-5225 | Dawn Patston, LMFT 1120 Main St, Bridgeport, CT 06604-4404 Ph: (203) 333-2040 |
Mrs. Jacqueline Rodriguez, LADC,CAC,APP Counselor Medicare: Not Enrolled in Medicare Practice Location: 243 Success Ave, Bridgeport, CT 06610 Phone: 203-864-8429 | |
Ms. Trisha J Coombs, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1120 Main St, Bridgeport, CT 06604 Phone: 203-368-9755 Fax: 203-368-9760 | |
Austin Gleaton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Lafayette Blvd Ste 1100, Bridgeport, CT 06604 Phone: 646-941-7645 Fax: 929-596-7897 | |
Regine Toussaint, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 4699 Main St Ste 210, Bridgeport, CT 06606 Phone: 120-320-8394 | |
Rudolph Hagwood Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 1635 Fairfield Ave, Bridgeport, CT 06605 Phone: 203-335-3518 Fax: 203-382-5589 | |
Rashawna D Brown, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Bunnell St, Bridgeport, CT 06607 Phone: 475-988-6885 | |
Nathan Demaio, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4675 Main St, Bridgeport, CT 06606 Phone: 203-344-0025 |