| Ellen Waltman, LPC | |
|
132 Mansfield Ave, Willimantic, CT 06226-2027 | |
| (860) 456-2261 | |
| (860) 450-1357 |
| Full Name | Ellen Waltman |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 132 Mansfield Ave, Willimantic, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902357999 | NPI | - | NPPES |
| 004040564 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 002290 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Waltman, LPC 132 Mansfield Ave, Willimantic, CT 06226-2027 Ph: (860) 456-2261 | Ellen Waltman, LPC 132 Mansfield Ave, Willimantic, CT 06226-2027 Ph: (860) 456-2261 |
William Bergmann, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1491 Main St, Willimantic, CT 06226 Phone: 860-456-3215 | |
Elicia L Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 Main St, Willimantic, CT 06226 Phone: 860-731-5522 Fax: 890-731-5536 | |
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 | |
Kelly M Shepard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 Main St, Willimantic, CT 06226 Phone: 860-731-5522 Fax: 890-731-5536 | |
Felicia Ca Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 Main St, Willimantic, CT 06226 Phone: 860-731-5522 Fax: 890-731-5536 |