| Boden Counseling Llc | |
|
89 Richards Rd Litchfield CT 06759-3701 | |
| (860) 567-7792 | |
| Not Available |
| Full Name | Boden Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 89 Richards Rd, Litchfield, Connecticut |
| Authorized Official Name and Position | Candace Boden (OWNER) |
| Authorized Official Contact | 8605677792 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Boden Counseling Llc 89 Richards Rd Litchfield CT 06759-3701 Ph: (860) 567-7792 | Boden Counseling Llc 89 Richards Rd Litchfield CT 06759-3701 Ph: (860) 567-7792 |
| NPI Number | 1881881167 |
|---|---|
| Provider Enumeration Date | 10/01/2007 |
| Last Update Date | 10/01/2007 |
| Medicare PECOS PAC ID | 8426148743 |
|---|---|
| Medicare Enrollment ID | O20071226000171 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881881167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 004074 (Connecticut) | Primary |
| Provider Name | Candace I Boden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689688673 PECOS PAC ID: 9436249752 Enrollment ID: I20071226000160 |
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