| Colchester Center For Counseling Llc | |
|
63 Hayward Ave Unit 3 Colchester CT 06415-1221 | |
| (860) 537-6656 | |
| (860) 228-0669 |
| Full Name | Colchester Center For Counseling Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 63 Hayward Ave, Colchester, Connecticut |
| Authorized Official Name and Position | Elaine Barbara Desilva (LICENSED MARRIAGE AND FAMILY THERAP) |
| Authorized Official Contact | 8605376656 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colchester Center For Counseling Llc 63 Hayward Ave Unit 3 Colchester CT 06415-1221 Ph: (860) 537-6656 | Colchester Center For Counseling Llc 63 Hayward Ave Unit 3 Colchester CT 06415-1221 Ph: (860) 537-6656 |
| NPI Number | 1912026253 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912026253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 000989 (Connecticut) | Primary |
| 106H00000X | Marriage & Family Therapist | 000822 (Connecticut) | Primary |
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