| Advanced Options, Llc | |
|
567 Vauxhall Street Ext Suite 314 Waterford CT 06385-4330 | |
| (860) 439-0237 | |
| (860) 439-0349 |
| Full Name | Advanced Options, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 567 Vauxhall Street Ext, Waterford, Connecticut |
| Authorized Official Name and Position | Debra E Burdick (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 8604390237 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Options, Llc 567 Vauxhall Street Ext Suite 314 Waterford CT 06385-4330 Ph: (860) 439-0237 | Advanced Options, Llc 567 Vauxhall Street Ext Suite 314 Waterford CT 06385-4330 Ph: (860) 439-0237 |
| NPI Number | 1568404820 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568404820 | NPI | - | NPPES |
| 13400 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 003903 (Connecticut) | Primary |
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