| Charter Oak Therapeutic Services Llc | |
|
246 Wolcott Rd Ste 2 Wolcott CT 06716-2641 | |
| (860) 863-6342 | |
| Not Available |
| Full Name | Charter Oak Therapeutic Services Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 246 Wolcott Rd Ste 2, Wolcott, Connecticut |
| Authorized Official Name and Position | Sharon Sanzari (BILLER) |
| Authorized Official Contact | 2033717311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Charter Oak Therapeutic Services Llc 246 Wolcott Rd Ste 2 Wolcott CT 06716-2641 Ph: () - | Charter Oak Therapeutic Services Llc 246 Wolcott Rd Ste 2 Wolcott CT 06716-2641 Ph: (860) 863-6342 |
| NPI Number | 1134658396 |
|---|---|
| Provider Enumeration Date | 06/09/2017 |
| Last Update Date | 06/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134658396 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 9523 (Connecticut) | Primary |
| 106H00000X | Marriage & Family Therapist | 1634 (Connecticut) | Secondary |
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