| Susan Kudrak, | |
|
35 Judd Ave, Bethel, CT 06801-1538 | |
| (203) 733-9103 | |
| (203) 744-0801 |
| Full Name | Susan Kudrak |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 28 Years |
| Location | 35 Judd Ave, Bethel, Connecticut |
| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336790211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 000637 (Connecticut) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Wct Behavioral Health And Medication Management Pllc | 8820480734 | 30 |
| Entity Name | Wct Behavioral Health & Medication Management Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285391474 PECOS PAC ID: 8820480734 Enrollment ID: O20220126000469 |
| Mailing Address | Practice Location Address |
|---|---|
| Susan Kudrak, 35 Judd Ave, Bethel, CT 06801-1538 Ph: (203) 733-9103 | Susan Kudrak, 35 Judd Ave, Bethel, CT 06801-1538 Ph: (203) 733-9103 |
Linda Tran, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Depot Pl, Bethel, CT 06801 Phone: 203-917-8296 | |
Priscilla Montes, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Depot Pl, Bethel, CT 06801 Phone: 203-917-8296 | |
Jennifer Glover, Counselor Medicare: Not Enrolled in Medicare Practice Location: 87 Turkey Plain Rd, Bethel, CT 06801 Phone: 203-434-6951 | |
Ashley Bruckenthal, Counselor Medicare: Medicare Enrolled Practice Location: 30 Deepwood Dr, Bethel, CT 06801 Phone: 203-927-8907 | |
Riya Kaur Sidhu, LPC Counselor Medicare: Medicare Enrolled Practice Location: 85 Knollwood Dr, Bethel, CT 06801 Phone: 203-512-1692 | |
Samantha Bachman, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Depot Pl Fl 1, Bethel, CT 06801 Phone: 203-313-1541 |