SUSAN KUDRAK


Address: 35 Judd Ave, Bethel, CT 06801-1538
Phone: 2037339103

SUSAN KUDRAK (NPI# 1336790211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1336790211
Entity Type Individual
Full Name SUSAN KUDRAK
Practice Address 35 Judd Ave
Bethel
CT 06801-1538
Practice Telephone 2037339103
Practice Fax Number 2037440801
Mailing Telephone 2037339103
Mailing Fax Number 2037440801
Enumeration Date 2019-09-23
Last Update Date 2019-09-23
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
000637 CT Behavioral Health & Social Service Providers

Office Location

Street Address 35 JUDD AVE
City BETHEL
State CT
Zip Code 06801-1538

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902438666 Rachel Lebetkin Counselor 47 Bethpage Dr, Bethel, CT 06801-2303 2020-02-10
1861800625 Barbara Kelly, Lpc Counselor 153 Greenwich Avenue, Barbara Kelly, Lpc, Bethel, CT 06801 2014-07-24
1134557689 Carol Reilly Lcc Counselor 101 Chestnut St Apt H, Bethel, CT 06801-2660 2013-10-19
1013129253 Terry Lynn Tuttle Counselor 900 Chief Eddie Hoffman Highway, Bethel, AK 99559 2007-05-03
1023120722 Mary Elizabeth Mcdonald Counselor 5016 Noel Polty Blvd., Bethel, AK 99559-1029 2006-08-31
1679542484 Peter Robert Hergenroether Counselor 829 Chief Eddie Hoffman Hwy, Bethel, AK 99559 2006-03-15
1750370433 Christopher S. Byrnes Counselor 833 Chief Eddie Hoffman Hwy, Bethel, AK 99559-0528 2005-10-17
1235620154 Samantha Bachman LLC Counselor 14 Depot Pl Fl 1, Bethel, CT 06801-2540 2018-05-25
1346731262 Samantha Bachman Counselor 14 Depot Pl Fl 1, Bethel, CT 06801-2540 2018-05-25
1346788080 Janet Lighthill Counselor 829 Chief Eddie Hoffman Hwy, Suite 150, Bethel, AK 99559-0528 2017-02-02
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Competitor

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City BETHEL
Zip Code 06801

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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