| Counseling Center For Discovery & Change Llc | |
|
12 Custer St Stamford CT 06902-3128 | |
| (203) 249-5334 | |
| Not Available |
| Full Name | Counseling Center For Discovery & Change Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 12 Custer St, Stamford, Connecticut |
| Authorized Official Name and Position | Roody Joseph (OWNER) |
| Authorized Official Contact | 2032495334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Center For Discovery & Change Llc 12 Custer St Stamford CT 06902-3128 Ph: (203) 249-5334 | Counseling Center For Discovery & Change Llc 12 Custer St Stamford CT 06902-3128 Ph: (203) 249-5334 |
| NPI Number | 1548654254 |
|---|---|
| Provider Enumeration Date | 03/20/2015 |
| Last Update Date | 03/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548654254 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1114 (Connecticut) | Secondary |
| 101YP2500X | Counselor - Professional | 2519 (Connecticut) | Primary |
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