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 | Counselor - Professional |
Location | 86 Bradley Rd, Madison, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588235543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 4735 (Connecticut) | Primary |
Entity Name | Waterstone Counseling Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851767933 PECOS PAC ID: 0749681070 Enrollment ID: O20210624001264 |
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 |