| Cb Counseling Pllc | |
|
425 Kings Hwy E Fairfield CT 06825-4852 | |
| (203) 307-0119 | |
| Not Available |
| Full Name | Cb Counseling Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 425 Kings Hwy E, Fairfield, Connecticut |
| Authorized Official Name and Position | Cody Bergeron (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2033070119 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cb Counseling Pllc 516 Woodridge Ave Fairfield CT 06825-2577 Ph: (203) 247-9039 | Cb Counseling Pllc 425 Kings Hwy E Fairfield CT 06825-4852 Ph: (203) 307-0119 |
| NPI Number | 1003574245 |
|---|---|
| Provider Enumeration Date | 12/06/2021 |
| Last Update Date | 12/06/2021 |
| Certification Date | 12/06/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003574245 | NPI | - | NPPES |
| 8934 | Other | CT | LCSW |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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