| Mr Evan Hunter Jr, LPC, LADC | |
|
140 Grandview Ave Ste B, Waterbury, CT 06708-2505 | |
| (203) 759-8021 | |
| Not Available |
| Full Name | Mr Evan Hunter Jr |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 140 Grandview Ave Ste B, Waterbury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366051468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 006121 (Connecticut) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1382 (Connecticut) | Secondary |
| Entity Name | Greenwoods Counseling Referrals Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063846277 PECOS PAC ID: 1052630308 Enrollment ID: O20150507001929 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Evan Hunter Jr, LPC, LADC 53 Hawthorne Ave, Waterbury, CT 06708-4614 Ph: (203) 346-8277 | Mr Evan Hunter Jr, LPC, LADC 140 Grandview Ave Ste B, Waterbury, CT 06708-2505 Ph: (203) 759-8021 |
Myco Foy, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006 | |
Shana A Santana, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006 | |
Darian Andre Coleman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 276 Highland Ave Ste 2n, Waterbury, CT 06708 Phone: 203-518-8218 | |
Mardea Zor, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 Fax: 203-574-9006 | |
Kemar Bailey, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-575-0466 Fax: 203-575-1817 | |
Susan Broadus, Counselor Medicare: Not Enrolled in Medicare Practice Location: 141 E Main St, Waterbury, CT 06702 Phone: 203-574-9000 | |
Ms. Shawnday Becerril, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 64 Robbins St, Crisis Center, Waterbury, CT 06708 Phone: 203-573-6500 |