| Mrs Joanne Etter, LLC | |
|
310 Crest Rd, Southington, CT 06489-2866 | |
| (203) 631-5661 | |
| Not Available |
| Full Name | Mrs Joanne Etter |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 310 Crest Rd, Southington, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467831859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 002491 (Connecticut) | Primary |
| Entity Name | Apple Valley Behavioral Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568843456 PECOS PAC ID: 5991122756 Enrollment ID: O20200826000298 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Joanne Etter, LLC 310 Crest Rd, Southington, CT 06489-2866 Ph: (203) 631-5661 | Mrs Joanne Etter, LLC 310 Crest Rd, Southington, CT 06489-2866 Ph: (203) 631-5661 |
Dr. Joyce Cerejo Day, PH.D; LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 North Main St., Suite 3n, Southington, CT 06489 Phone: 860-288-5400 Fax: 860-288-5411 | |
Rachel Ann Mckenzie Bulinski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1187 Queen St, Southington, CT 06489 Phone: 860-604-3255 | |
Ashley M Keith, MA,BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1187 Queen St, Southington, CT 06489 Phone: 203-285-6429 | |
Ashley Mccarthy, MA, MT-BC, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 196 Queen St, Southington, CT 06489 Phone: 860-518-5557 | |
Kathryn M Tansley, MS, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 318 N Main St Ste 2, Southington, CT 06489 Phone: 860-620-7748 | |
Judith Wayton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 963 Queen St Ste C, Southington, CT 06489 Phone: 860-620-4562 | |
Gisele Constanza Morini, Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 N Main St Ste 2a, Southington, CT 06489 Phone: 860-215-2177 |