| Connecticut Therapeutic Counseling Llc | |
|
32 Maple Ave Windsor CT 06095-2922 | |
| (860) 973-9171 | |
| Not Available |
| Full Name | Connecticut Therapeutic Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 32 Maple Ave, Windsor, Connecticut |
| Authorized Official Name and Position | Phetsamon Dilullo (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8609739171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Connecticut Therapeutic Counseling Llc 32 Maple Ave Windsor CT 06095-2922 Ph: (860) 973-9171 | Connecticut Therapeutic Counseling Llc 32 Maple Ave Windsor CT 06095-2922 Ph: (860) 973-9171 |
| NPI Number | 1811453269 |
|---|---|
| Provider Enumeration Date | 02/11/2019 |
| Last Update Date | 04/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811453269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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