| Ms Stephanie Jane Smith, LPC | |
|
40 Bolivia St, Willimantic, CT 06226-2843 | |
| (860) 423-5353 | |
| (860) 423-5353 |
| Full Name | Ms Stephanie Jane Smith |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 40 Bolivia St, Willimantic, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548379266 | NPI | - | NPPES |
| 322796 | Other | MHN | |
| 240001292CT01 | Other | CT | ANTHEM BCBS |
| 11244656 | Other | CT | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 001292 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Stephanie Jane Smith, LPC 40 Bolivia St, Willimantic, CT 06226-2843 Ph: (860) 423-5353 | Ms Stephanie Jane Smith, LPC 40 Bolivia St, Willimantic, CT 06226-2843 Ph: (860) 423-5353 |
William Bergmann, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1491 Main St, Willimantic, CT 06226 Phone: 860-456-3215 | |
Elicia L Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 Main St, Willimantic, CT 06226 Phone: 860-731-5522 Fax: 890-731-5536 | |
Ms. Jessica M Diaz, MASTER OF ARTS Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 Mansfield Ave, Willimantic, CT 06226 Phone: 860-456-2261 | |
Ning Cruzado, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 Main St, Willimantic, CT 06226 Phone: 860-731-5522 Fax: 860-731-5536 | |
Amanda Church, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 Main St, Willimantic, CT 06226 Phone: 860-731-5522 Fax: 860-731-5536 | |
Kelly M Shepard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 Main St, Willimantic, CT 06226 Phone: 860-731-5522 Fax: 890-731-5536 | |
Felicia Ca Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1310 Main St, Willimantic, CT 06226 Phone: 860-731-5522 Fax: 890-731-5536 |