Ann M. Pacheco Lmft, Llc | |
2 Mansfield Hollow Rd Mansfield Center CT 06250-1314 | |
(860) 423-0877 | |
Not Available |
Full Name | Ann M. Pacheco Lmft, Llc |
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Speciality | Marriage & Family Therapist |
Location | 2 Mansfield Hollow Rd, Mansfield Center, Connecticut |
Authorized Official Name and Position | Ann M. Pacheco (OWNER) |
Authorized Official Contact | 8604230877 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ann M. Pacheco Lmft, Llc 2 Mansfield Hollow Rd Mansfield Center CT 06250-1314 Ph: (860) 423-0877 | Ann M. Pacheco Lmft, Llc 2 Mansfield Hollow Rd Mansfield Center CT 06250-1314 Ph: (860) 423-0877 |
NPI Number | 1033659362 |
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Provider Enumeration Date | 03/06/2017 |
Last Update Date | 04/18/2024 |
Certification Date | 04/18/2024 |
Medicare PECOS PAC ID | 5294176491 |
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Medicare Enrollment ID | O20240517002208 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033659362 | NPI | - | NPPES |
00402008CT | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 0000531CT (Connecticut) | Primary |
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