| 2assureus | |
|
21 Charter Oak Ave Hartford CT 06106-1801 | |
| (860) 759-5097 | |
| Not Available |
| Full Name | 2assureus |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 21 Charter Oak Ave, Hartford, Connecticut |
| Authorized Official Name and Position | Dajavon A Davis (CO-OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 8607595097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| 2assureus 87 Barry Pl Rocky Hill CT 06067-1207 Ph: (860) 759-5097 | 2assureus 21 Charter Oak Ave Hartford CT 06106-1801 Ph: (860) 759-5097 |
| NPI Number | 1942965090 |
|---|---|
| Provider Enumeration Date | 11/03/2021 |
| Last Update Date | 11/03/2021 |
| Certification Date | 11/03/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942965090 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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