| Jenna Rae Ryan, | |
|
350 Center Rock Grn Ste 9, Oxford, CT 06478-3170 | |
| (203) 951-1858 | |
| (203) 307-1771 |
| Full Name | Jenna Rae Ryan |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 350 Center Rock Grn Ste 9, Oxford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679170716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (Connecticut) | Primary |
| Entity Name | The Griffin Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184639973 PECOS PAC ID: 8921901984 Enrollment ID: O20040128000937 |
| Mailing Address | Practice Location Address |
|---|---|
| Jenna Rae Ryan, 350 Center Rock Grn Ste 9, Oxford, CT 06478-3170 Ph: (120) 395-1185 | Jenna Rae Ryan, 350 Center Rock Grn Ste 9, Oxford, CT 06478-3170 Ph: (203) 951-1858 |
Alice Kroll, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 420 Quaker Farms Rd, Oxford, CT 06478 Phone: 203-305-1012 Fax: 203-888-5275 | |
Stephanie Pavlo, LPC Counselor Medicare: Medicare Enrolled Practice Location: 350 Center Rock Grn Ste 9, Oxford, CT 06478 Phone: 203-951-1858 Fax: 203-951-1857 | |
Ms. Lucrezia Mangione, LCPC,LPC,NCC,BC-TMH Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Christian St, Oxford, CT 06478 Phone: 802-578-3700 | |
Nico Dylan-grant Markette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 500 Boulder Pass Apt 130, Oxford, CT 06478 Phone: 203-695-9518 | |
Brittney Romagna, MA, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 Christian St Ste 7, Oxford, CT 06478 Phone: 802-578-3700 | |
William Bogen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Skyline Dr, Oxford, CT 06478 Phone: 203-881-5539 |