| Mr Brian J Kennedy, CAC | |
|
352 State St, North Haven, CT 06473-3108 | |
| (203) 781-4600 | |
| Not Available |
| Full Name | Mr Brian J Kennedy |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 352 State St, North Haven, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972307478 | NPI | - | NPPES |
| 004082286 | Medicaid | CT | |
| 008022626 | Medicaid | CT | |
| 008056168 | Medicaid | CT | |
| 500000315 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CAC-7220 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Brian J Kennedy, CAC 204 Winslow Dr, West Haven, CT 06516-6917 Ph: (203) 435-0242 | Mr Brian J Kennedy, CAC 352 State St, North Haven, CT 06473-3108 Ph: (203) 781-4600 |
Martha Wright, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 352 State St, North Haven, CT 06473 Phone: 203-781-4695 Fax: 203-781-4624 | |
Maria Nunley, LPC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 352 State St, North Haven, CT 06473 Phone: 203-781-4600 | |
Daniel Battistoni, LPC Counselor Medicare: Medicare Enrolled Practice Location: 605 Washington Ave, North Haven, CT 06473 Phone: 203-767-5638 | |
Puylaurens Alexis, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 352 State St, North Haven, CT 06473 Phone: 203-781-4600 Fax: 203-781-4624 | |
Ms. Shaniqua Dillard, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 State St, North Haven, CT 06473 Phone: 203-437-6882 | |
Ms. Christine Porto, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 5 Linsley St, North Haven, CT 06473 Phone: 203-239-5321 Fax: 203-234-3942 | |
Lindsey Miranda, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 605 Washington Ave, North Haven, CT 06473 Phone: 203-228-2606 |