| Chris Bonatsakis Lcsw Llc | |
|
263 Farmington Ave Farmington CT 06030-0001 | |
| (860) 679-6700 | |
| (860) 679-6736 |
| Full Name | Chris Bonatsakis Lcsw Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 263 Farmington Ave, Farmington, Connecticut |
| Authorized Official Name and Position | Nectarios Bonatsakis (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8605978041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Chris Bonatsakis Lcsw Llc 263 Farmington Ave Farmington CT 06030-8082 Ph: (860) 679-6700 | Chris Bonatsakis Lcsw Llc 263 Farmington Ave Farmington CT 06030-0001 Ph: (860) 679-6700 |
| NPI Number | 1871052233 |
|---|---|
| Provider Enumeration Date | 03/15/2019 |
| Last Update Date | 02/16/2023 |
| Certification Date | 02/16/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871052233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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