| Mr Pete Ralston, LADC | |
|
25 Marlborough St, Portland, CT 06480-1829 | |
| (860) 342-6371 | |
| Not Available |
| Full Name | Mr Pete Ralston |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 25 Marlborough St, Portland, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255452686 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 000533 (Connecticut) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 001133 (Connecticut) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Pete Ralston, LADC 25 Marlborough St, Portland, CT 06480-1829 Ph: (860) 342-6371 | Mr Pete Ralston, LADC 25 Marlborough St, Portland, CT 06480-1829 Ph: (860) 342-6371 |
Mrs. Katelyn Mary Warner, LPC Counselor Medicare: Medicare Enrolled Practice Location: 325 Main St, Portland, CT 06480 Phone: 860-342-3252 | |
Michele Binezewski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 553 Portland Cobalt Rd, Portland, CT 06480 Phone: 860-342-0760 Fax: 860-342-4226 | |
Mrs. Donna S. Grisham, LADC Counselor Medicare: Accepting Medicare Assignments Practice Location: 553 Portland Cobalt Rd, Portland, CT 06480 Phone: 860-342-0760 Fax: 860-342-4226 | |
Mrs. Julie S. Dudek, LPC Counselor Medicare: Medicare Enrolled Practice Location: 553 Portland Cobalt Rd, Portland, CT 06480 Phone: 860-342-0760 Fax: 860-342-4226 | |
Thelma Marie Epps, LADC, CAC, ICADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 325 Main St, Portland, CT 06480 Phone: 860-342-3252 Fax: 860-342-4556 | |
Ms. Michelle M Pellin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 32 Buttonhook Dr, Portland, CT 06480 Phone: 860-805-7819 |