Connective Clinical Counseling, Llc | |
2377 Fourth Street Syracuse OH 45779 | |
(740) 247-5463 | |
(740) 212-8445 |
Full Name | Connective Clinical Counseling, Llc |
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Speciality | Counselor - Mental Health |
Location | 2377 Fourth Street, Syracuse, Ohio |
Authorized Official Name and Position | Trisha Gibson (PSYCHOTHERAPIST/OWNER) |
Authorized Official Contact | 7402475463 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Connective Clinical Counseling, Llc Po Box 134 Syracuse OH 45779-0134 Ph: (740) 247-5463 | Connective Clinical Counseling, Llc 2377 Fourth Street Syracuse OH 45779 Ph: (740) 247-5463 |
NPI Number | 1710553110 |
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Provider Enumeration Date | 05/27/2021 |
Last Update Date | 05/27/2021 |
Certification Date | 05/18/2021 |
Identifier | Type | State | Issuer |
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1710553110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Connective Clinical Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2448 Third Street, Syracuse, OH 45779 Phone: 740-247-5463 Fax: 740-212-8445 | |
Connective Clinical Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2377 Fourth Street, Syracuse, OH 45779 Phone: 740-247-5463 |