| Jacqueline Proulx, | |
|
1007 N Main St, Dayville, CT 06241-2170 | |
| (860) 774-2020 | |
| (260) 774-0826 |
| Full Name | Jacqueline Proulx |
|---|---|
| Gender | Female |
| Speciality | Marriage & Family Therapist |
| Location | 1007 N Main St, Dayville, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972849255 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Entity Name | Generations Family Health Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346228905 PECOS PAC ID: 4880640630 Enrollment ID: O20050324000979 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Proulx, 1007 N Main St, Dayville, CT 06241-2170 Ph: (860) 774-2020 | Jacqueline Proulx, 1007 N Main St, Dayville, CT 06241-2170 Ph: (860) 774-2020 |
Rebecca Mercado, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1007 North Main, Dayville, CT 06241 Phone: 860-774-2020 Fax: 860-228-6921 | |
Erica Loren Baloga, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1007 North Main Street, Dayville, CT 06241 Phone: 860-774-2020 | |
Georgia Chris Alevras, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1007 N Main St, Dayville, CT 06241 Phone: 860-774-2020 Fax: 860-774-0826 |