| Blossom Counseling, Llc | |
|
300 Federal Rd Ste 209 Brookfield CT 06804-2412 | |
| (203) 744-9820 | |
| Not Available |
| Full Name | Blossom Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 300 Federal Rd Ste 209, Brookfield, Connecticut |
| Authorized Official Name and Position | Laurie A Parisi (OWNER) |
| Authorized Official Contact | 2037449820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blossom Counseling, Llc 4 Deer Run Rd Brookfield CT 06804-1723 Ph: (203) 744-9820 | Blossom Counseling, Llc 300 Federal Rd Ste 209 Brookfield CT 06804-2412 Ph: (203) 744-9820 |
| NPI Number | 1063933844 |
|---|---|
| Provider Enumeration Date | 06/30/2017 |
| Last Update Date | 06/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063933844 | NPI | - | NPPES |
| 008069995 | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 009096 (Connecticut) | Primary |
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