| Counseling Center Of Monroe, Llc | |
|
477 Main St Suite 208 Monroe CT 06468-1139 | |
| (203) 268-1390 | |
| (203) 220-2247 |
| Full Name | Counseling Center Of Monroe, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 477 Main St, Monroe, Connecticut |
| Authorized Official Name and Position | Deborah A Sakal (OWNER/SOLE PROVIDER) |
| Authorized Official Contact | 2032681390 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Counseling Center Of Monroe, Llc Po Box 122 Monroe CT 06468-0122 Ph: (203) 268-1390 | Counseling Center Of Monroe, Llc 477 Main St Suite 208 Monroe CT 06468-1139 Ph: (203) 268-1390 |
| NPI Number | 1225424336 |
|---|---|
| Provider Enumeration Date | 04/15/2015 |
| Last Update Date | 05/04/2020 |
| Certification Date | 05/04/2020 |
| Medicare PECOS PAC ID | 8123458650 |
|---|---|
| Medicare Enrollment ID | O20200423001135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225424336 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 006648 (Connecticut) | Primary |
| Provider Name | Deborah Ann Sakal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437490067 PECOS PAC ID: 9739304098 Enrollment ID: I20140701000920 |
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