| Choose Your Path Counseling Llc | |
|
92 N Summit St Ste 2g Southington CT 06489-3000 | |
| (860) 948-8178 | |
| Not Available |
| Full Name | Choose Your Path Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 92 N Summit St Ste 2g, Southington, Connecticut |
| Authorized Official Name and Position | Valerie Martin (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8609488178 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Choose Your Path Counseling Llc 996 Meriden Waterbury Turnpike 3g Plantsville CT 06479 Ph: (860) 948-8178 | Choose Your Path Counseling Llc 92 N Summit St Ste 2g Southington CT 06489-3000 Ph: (860) 948-8178 |
| NPI Number | 1639719545 |
|---|---|
| Provider Enumeration Date | 01/08/2020 |
| Last Update Date | 01/08/2020 |
| Certification Date | 01/08/2020 |
| Medicare PECOS PAC ID | 5092136663 |
|---|---|
| Medicare Enrollment ID | O20200608000592 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639719545 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Valerie A Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669948576 PECOS PAC ID: 7618398280 Enrollment ID: I20200608000770 |
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