| Ms Gina L Dutil, LPC-A | |
|
86 Bradley Rd, Madison, CT 06443-2644 | |
| (203) 245-0412 | |
| (203) 612-9030 |
| Full Name | Ms Gina L Dutil |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 6 Years |
| Location | 86 Bradley Rd, Madison, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588235543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4735 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Waterstone Counseling Center Llc | 0749681070 | 8 |
| Entity Name | Waterstone Counseling Center Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851767933 PECOS PAC ID: 0749681070 Enrollment ID: O20210624001264 |
| Entity Name | Waterstone Health Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700600053 PECOS PAC ID: 5395260574 Enrollment ID: O20250421001502 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Gina L Dutil, LPC-A 86 Bradley Rd, Madison, CT 06443-2644 Ph: (203) 245-0412 | Ms Gina L Dutil, LPC-A 86 Bradley Rd, Madison, CT 06443-2644 Ph: (203) 245-0412 |
Ryan Shook, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 147 Durham Rd, Madison, CT 06443 Phone: 860-238-3632 | |
Tracie L Bush, M.A., CKPMT Counselor Medicare: Not Enrolled in Medicare Practice Location: 79 Country Way, Madison, CT 06443 Phone: 203-848-7169 | |
Kristina Fitch, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1205 Durham Rd, Madison, CT 06443 Phone: 203-738-9306 | |
Lucy Kaitlyn Faulkner, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 17a Woodland Rd, Madison, CT 06443 Phone: 203-779-5490 | |
Joyce Gendler, LPC, REAT, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 School St, Madison, CT 06443 Phone: 203-245-5645 | |
Mrs. Marjorie Adler, MS COUNSELING Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 School St, Madison, CT 06443 Phone: 203-245-5645 Fax: 203-245-5648 | |
Ms. Elizabeth M Strazar, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 85 Wall St, Madison, CT 06443 Phone: 201-290-8609 |