| Kettavong Counseling, Llc | |
|
18 Oneco St Suite 3 Norwich CT 06360-3440 | |
| (860) 822-3208 | |
| Not Available |
| Full Name | Kettavong Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 18 Oneco St, Norwich, Connecticut |
| Authorized Official Name and Position | Malyna Kettavong (OWNER) |
| Authorized Official Contact | 8608039724 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kettavong Counseling, Llc 18 Oneco St Suite 3 Norwich CT 06360-3440 Ph: () - | Kettavong Counseling, Llc 18 Oneco St Suite 3 Norwich CT 06360-3440 Ph: (860) 822-3208 |
| NPI Number | 1285084517 |
|---|---|
| Provider Enumeration Date | 06/17/2016 |
| Last Update Date | 08/14/2017 |
| Medicare PECOS PAC ID | 9032407960 |
|---|---|
| Medicare Enrollment ID | O20161010001440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285084517 | NPI | - | NPPES |
| Provider Name | Malyna Kettavong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922435676 PECOS PAC ID: 0840511366 Enrollment ID: I20150609000524 |
Jeigh Hayes Health And Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 New London Tpke, Office 3, Suite A, Norwich, CT 06360 Phone: 860-857-8176 | |
Cedarwood Counseling, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12 Case St Ste 202, Norwich, CT 06360 Phone: 860-303-3051 | |
Catholic Charities Diocese Of Norwich Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 331 Main St, Norwich, CT 06360 Phone: 860-889-8346 | |
Vwb Counseling, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12 Case Street, Suite 302, Norwich, CT 06360 Phone: 860-984-3786 | |
Julie A Longton Lmft Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Carver Ave, Norwich, CT 06360 Phone: 860-886-8233 | |
Therapeutic Matters Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 8 Mahan Dr, Norwich, CT 06360 Phone: 860-934-5123 | |
Carol Campbell Lmft Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 18 Oneco St, Suite 3, Norwich, CT 06360 Phone: 860-984-3190 |