| Chris Carson Marriage & Family Therapy, Llc | |
|
75 Brace Rd Ste 2 West Hartford CT 06107-1808 | |
| (860) 400-2018 | |
| Not Available |
| Full Name | Chris Carson Marriage & Family Therapy, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 75 Brace Rd Ste 2, West Hartford, Connecticut |
| Authorized Official Name and Position | Sue Roach (ACCESS MANAGER) |
| Authorized Official Contact | 8603687092 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chris Carson Marriage & Family Therapy, Llc 156 Griswold Dr West Hartford CT 06119-1021 Ph: (860) 400-2018 | Chris Carson Marriage & Family Therapy, Llc 75 Brace Rd Ste 2 West Hartford CT 06107-1808 Ph: (860) 400-2018 |
| NPI Number | 1306544341 |
|---|---|
| Provider Enumeration Date | 02/20/2023 |
| Last Update Date | 03/13/2024 |
| Certification Date | 03/13/2024 |
| Medicare PECOS PAC ID | 2163869017 |
|---|---|
| Medicare Enrollment ID | O20240327001521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306544341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| Provider Name | Chris L Carson |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1427632835 PECOS PAC ID: 4981041837 Enrollment ID: I20240327001583 |
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